Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.24 / $470.39 / $470.39	Facility		$51.24	$470.39	$470.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.61 / $17.18 / $61.09	Professional		$3.61	$17.18	$61.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.30 / $16.80 / $32.54	Professional		$13.30	$16.80	$32.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.85 / $15.54 / $40.92	Facility		$12.85	$15.54	$40.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.53 / $16.61 / $39.88	Professional		$13.53	$16.61	$39.88
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $79.00 / $91.00	Facility		$77.09	$79.00	$91.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.42 / $16.20 / $27.02	Professional		$12.42	$16.20	$27.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.28 / $14.28 / $14.28	Professional		$14.28	$14.28	$14.28
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $17.87 / $19.66 / $24.12	Professional		$17.87	$19.66	$24.12
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $150.50 / $171.94 / $277.18	Professional		$150.50	$171.94	$277.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.44 / $16.07 / $33.00	Professional		$12.44	$16.07	$33.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.48 / $80.48	Facility		$80.00	$80.48	$80.48
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $2.68 / $7.27 / $7.88	Facility	AS	$2.68	$7.27	$7.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $94.23 / $98.60 / $130.05	Professional		$94.23	$98.60	$130.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $60.00	Professional		$32.34	$32.34	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.19 / $18.94 / $24.14	Facility		$15.19	$18.94	$24.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.28 / $14.28 / $27.37	Professional		$14.28	$14.28	$27.37
United Facility/Professional Professional Modifier Low / Median / High Price $13.72 / $19.52 / $53.75	Professional		$13.72	$19.52	$53.75