Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.01 / $28.80 / $32.40	Facility		$27.01	$28.80	$32.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.44 / $34.38 / $144.00	Professional		$27.44	$34.38	$144.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $50.51 / $50.51 / $320.00	Professional	25	$50.51	$50.51	$320.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.10 / $36.77 / $66.66	Professional		$27.10	$36.77	$66.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.15 / $34.99 / $39.47	Facility		$30.15	$34.99	$39.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.30 / $36.58 / $76.05	Professional		$30.30	$36.58	$76.05
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $24.11 / $33.75 / $81.02	Professional		$24.11	$33.75	$81.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.14 / $41.14 / $41.14	Facility		$41.14	$41.14	$41.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.57 / $28.57 / $28.57	Professional		$28.57	$28.57	$28.57
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $26.29 / $36.27 / $46.49	Professional		$26.29	$36.27	$46.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.45 / $38.26 / $65.94	Professional		$29.45	$38.26	$65.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $57.90 / $154.90 / $154.90	Facility		$57.90	$154.90	$154.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $197.08 / $203.57 / $261.38	Professional		$197.08	$203.57	$261.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.43 / $32.34 / $32.34	Professional		$31.43	$32.34	$32.34
Optum Facility/Professional Professional Modifier Low / Median / High Price $32.42 / $38.14 / $44.28	Professional		$32.42	$38.14	$44.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.48 / $38.03 / $52.75	Facility		$29.48	$38.03	$52.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.57 / $29.31 / $83.56	Professional		$28.57	$29.31	$83.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $32.42 / $38.14 / $44.28	Professional		$32.42	$38.14	$44.28
United Facility/Professional Professional Modifier Low / Median / High Price $26.96 / $36.31 / $81.05	Professional		$26.96	$36.31	$81.05