Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.61 / $45.85 / $66.84	Facility		$39.61	$45.85	$66.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.32 / $54.31 / $95.62	Professional		$38.32	$54.31	$95.62
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $54.29 / $54.29 / $54.29	Professional	25	$54.29	$54.29	$54.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.39 / $57.39 / $57.39	Professional		$57.39	$57.39	$57.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.61 / $61.61 / $77.77	Professional		$61.61	$61.61	$77.77
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $47.03 / $65.91 / $99.90	Professional		$47.03	$65.91	$99.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.95 / $55.95 / $60.32	Professional		$55.95	$55.95	$60.32
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $48.32 / $55.57 / $86.71	Professional		$48.32	$55.57	$86.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $57.39 / $100.83	Professional		$38.02	$57.39	$100.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $216.24 / $216.24 / $216.24	Facility		$216.24	$216.24	$216.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $277.58 / $349.50 / $516.45	Professional		$277.58	$349.50	$516.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.67 / $56.75 / $82.73	Facility		$39.67	$56.75	$82.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.92 / $55.95 / $108.38	Professional		$45.92	$55.95	$108.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $147.37 / $147.37 / $203.88	Professional		$147.37	$147.37	$203.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $43.93 / $68.58 / $94.47	Professional		$43.93	$68.58	$94.47
United Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $69.95 / $181.47	Professional		$49.28	$69.95	$181.47