Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.79 / $45.79 / $293.32	Facility		$45.79	$45.79	$293.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.39 / $45.79 / $293.32	Professional		$35.39	$45.79	$293.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.75 / $45.75 / $48.58	Professional		$45.75	$45.75	$48.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.78 / $143.26 / $322.70	Facility		$34.78	$143.26	$322.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.19 / $46.18 / $70.91	Professional		$37.19	$46.18	$70.91
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $120.35 / $214.91	Facility		$95.50	$120.35	$214.91
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $54.94 / $134.88 / $314.20	Professional		$54.94	$134.88	$314.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.51 / $54.11 / $54.34	Facility		$47.51	$54.11	$54.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $39.50 / $57.68	Professional		$39.50	$39.50	$57.68
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $40.07 / $48.08 / $111.83	Professional		$40.07	$48.08	$111.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.00 / $71.16 / $157.57	Professional		$61.00	$71.16	$157.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $154.79 / $395.32 / $482.89	Facility		$154.79	$395.32	$482.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $503.22 / $511.56 / $688.35	Professional		$503.22	$511.56	$688.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $228.96 / $228.96 / $228.96	Professional		$228.96	$228.96	$228.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.56 / $86.41 / $101.66	Facility		$24.56	$86.41	$101.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $54.11 / $96.76	Professional		$39.50	$54.11	$96.76
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $191.88 / $191.88 / $191.88	Professional		$191.88	$191.88	$191.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $40.07 / $68.12 / $81.33	Professional		$40.07	$68.12	$81.33
United Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $48.00 / $48.00	Facility		$48.00	$48.00	$48.00
United Facility/Professional Professional Modifier Low / Median / High Price $34.53 / $38.04 / $94.32	Professional		$34.53	$38.04	$94.32