Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $20.89 / $25.12	Facility		$19.05	$20.89	$25.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.99 / $51.29	Professional		$19.05	$23.99	$51.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.20 / $41.69	Professional		$23.99	$30.20	$41.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $33.88	Facility		$31.62	$31.62	$33.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $37.15 / $67.61	Professional		$23.99	$37.15	$67.61
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $28.18 / $60.26	Professional		$23.44	$28.18	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $39.81	Professional		$28.84	$28.84	$39.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $32.36 / $48.98	Professional		$21.38	$32.36	$48.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.90 / $45.71	Professional		$23.99	$30.90	$45.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $269.15 / $269.15	Professional		$186.21	$269.15	$269.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $32.36 / $33.11	Professional		$18.20	$32.36	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $26.92 / $43.65	Facility		$19.50	$26.92	$43.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $63.10	Professional		$27.54	$27.54	$63.10
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $85.11	Professional		$75.86	$75.86	$85.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.11 / $45.71	Professional		$23.99	$33.11	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $26.92 / $57.54	Professional		$19.50	$26.92	$57.54