Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.29 / $59.22 / $162.68	Facility		$29.29	$59.22	$162.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $29.59 / $71.79	Professional		$29.29	$29.59	$71.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.44 / $34.44 / $34.44	Professional		$34.44	$34.44	$34.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.06 / $46.78 / $105.25	Facility		$31.06	$46.78	$105.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.70 / $29.78 / $67.59	Professional		$28.70	$29.78	$67.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $30.91 / $34.54 / $66.52	Facility		$30.91	$34.54	$66.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $29.85 / $31.34 / $77.66	Professional		$29.85	$31.34	$77.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.63 / $27.63 / $29.29	Facility		$27.63	$27.63	$29.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $29.29 / $35.93	Professional		$29.29	$29.29	$35.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $28.21 / $28.92 / $38.08	Professional		$28.21	$28.92	$38.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.36 / $35.15 / $64.44	Professional		$26.36	$35.15	$64.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $144.60 / $146.44	Facility		$75.00	$144.60	$146.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $124.53 / $124.53 / $124.53	Professional		$124.53	$124.53	$124.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.83 / $57.83 / $57.83	Professional		$57.83	$57.83	$57.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.29 / $30.46 / $50.12	Facility		$29.29	$30.46	$50.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $29.29 / $36.77	Professional		$29.29	$29.29	$36.77
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $48.77 / $48.77 / $48.77	Professional		$48.77	$48.77	$48.77
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $23.43 / $29.29 / $43.94	Professional		$23.43	$29.29	$43.94
United Facility/Professional Facility Modifier Low / Median / High Price $29.29 / $29.29 / $29.29	Facility		$29.29	$29.29	$29.29
United Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $29.29 / $56.39	Professional		$29.29	$29.29	$56.39