Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $23.06 / $25.50	Facility		$19.50	$23.06	$25.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $23.17 / $39.36	Professional		$17.82	$23.17	$39.36
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $39.69 / $39.69 / $39.69	Professional	25	$39.69	$39.69	$39.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.49 / $29.57 / $53.73	Professional		$26.49	$29.57	$53.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.52 / $33.90 / $33.90	Facility		$31.52	$33.90	$33.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.01 / $31.19 / $59.24	Professional		$22.01	$31.19	$59.24
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $57.27 / $82.45 / $82.45	Facility		$57.27	$82.45	$82.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $25.85 / $47.55	Professional		$21.27	$25.85	$47.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.16 / $29.16 / $41.91	Professional		$29.16	$29.16	$41.91
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $22.26 / $36.99 / $48.49	Professional		$22.26	$36.99	$48.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $30.83 / $50.94	Professional		$25.33	$30.83	$50.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $151.53 / $151.53 / $151.53	Facility		$151.53	$151.53	$151.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $155.88 / $187.97 / $267.30	Professional		$155.88	$187.97	$267.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.79 / $32.34 / $36.32	Professional		$21.79	$32.34	$36.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.61 / $27.64 / $41.85	Facility		$19.61	$27.64	$41.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.63 / $31.16 / $61.10	Professional		$25.63	$31.16	$61.10
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $76.61 / $76.61 / $85.03	Professional		$76.61	$76.61	$85.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $30.14 / $33.90 / $41.44	Professional		$30.14	$33.90	$41.44
United Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $29.60 / $94.13	Professional		$20.72	$29.60	$94.13