Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.24 / $66.33 / $78.03	Facility		$55.24	$66.33	$78.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.94 / $56.90 / $78.03	Professional		$29.94	$56.90	$78.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.67 / $46.67 / $46.67	Professional		$46.67	$46.67	$46.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.29 / $44.43 / $50.14	Facility		$38.29	$44.43	$50.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.29 / $77.18 / $149.79	Professional		$38.29	$77.18	$149.79
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $35.71 / $70.48 / $131.01	Professional		$35.71	$70.48	$131.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.11 / $50.11 / $50.11	Facility		$50.11	$50.11	$50.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.89 / $50.89 / $50.89	Professional		$50.89	$50.89	$50.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $40.90 / $61.69 / $88.99	Professional		$40.90	$61.69	$88.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.89 / $60.16 / $104.31	Professional		$36.89	$60.16	$104.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $70.42 / $184.32 / $184.32	Facility		$70.42	$184.32	$184.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $240.43 / $298.64 / $468.38	Professional		$240.43	$298.64	$468.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Optum Facility/Professional Professional Modifier Low / Median / High Price $70.01 / $72.11 / $72.11	Professional		$70.01	$72.11	$72.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.58 / $64.09 / $93.80	Facility		$40.58	$64.09	$93.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.89 / $50.89 / $149.16	Professional		$50.89	$50.89	$149.16
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $72.11 / $110.82 / $227.43	Professional		$72.11	$110.82	$227.43
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $33.06 / $55.34 / $76.09	Professional		$33.06	$55.34	$76.09
United Facility/Professional Professional Modifier Low / Median / High Price $52.51 / $71.78 / $165.68	Professional		$52.51	$71.78	$165.68