Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.90 / $32.90 / $172.67	Facility		$32.90	$32.90	$172.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.05 / $32.90 / $62.05	Professional		$26.05	$32.90	$62.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.97 / $36.97 / $36.97	Professional		$36.97	$36.97	$36.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.98 / $90.79 / $189.95	Facility		$24.98	$90.79	$189.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.90 / $33.31 / $57.00	Professional		$29.90	$33.31	$57.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $62.86 / $88.27 / $126.56	Facility		$62.86	$88.27	$126.56
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $100.00 / $184.96	Professional		$32.34	$100.00	$184.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.22 / $34.22 / $47.55	Facility		$34.22	$34.22	$47.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.98 / $24.98 / $36.71	Professional		$24.98	$24.98	$36.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $47.87 / $59.84 / $71.81	Professional		$47.87	$59.84	$71.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.90 / $41.89 / $92.75	Professional		$35.90	$41.89	$92.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $96.32 / $285.48 / $285.48	Facility		$96.32	$285.48	$285.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $308.61 / $308.61 / $448.80	Professional		$308.61	$308.61	$448.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $126.30 / $126.30 / $126.30	Professional		$126.30	$126.30	$126.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $52.46 / $61.61	Facility		$17.64	$52.46	$61.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.98 / $34.22 / $56.96	Professional		$24.98	$34.22	$56.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $112.95 / $112.95 / $112.95	Professional		$112.95	$112.95	$112.95
United Facility/Professional Professional Modifier Low / Median / High Price $24.81 / $27.32 / $63.30	Professional		$24.81	$27.32	$63.30