Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.01 / $42.73 / $43.28	Facility		$17.01	$42.73	$43.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.01 / $42.73 / $128.00	Professional		$17.01	$42.73	$128.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $128.00 / $128.00 / $128.00	Professional	25	$128.00	$128.00	$128.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.69 / $42.17 / $60.00	Professional		$39.69	$42.17	$60.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.23 / $614.00 / $876.00	Facility		$19.23	$614.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $40.00 / $88.85	Professional		$18.14	$40.00	$88.85
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $14.71 / $20.85 / $34.92	Facility		$14.71	$20.85	$34.92
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $20.70 / $43.63 / $84.21	Professional		$20.70	$43.63	$84.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.21 / $24.21 / $30.48	Facility		$24.21	$24.21	$30.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.88 / $39.88 / $39.88	Professional		$39.88	$39.88	$39.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $20.19 / $32.29 / $76.83	Professional		$20.19	$32.29	$76.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.02 / $44.65 / $84.34	Professional		$18.02	$44.65	$84.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $71.56 / $90.29 / $90.29	Facility		$71.56	$90.29	$90.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $156.41 / $272.14 / $372.38	Professional		$156.41	$272.14	$372.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.69 / $40.00 / $69.14	Facility		$18.69	$40.00	$69.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.88 / $39.88 / $103.20	Professional		$39.88	$39.88	$103.20
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $45.10 / $45.10 / $104.27	Professional		$45.10	$45.10	$104.27
United Facility/Professional Professional Modifier Low / Median / High Price $32.74 / $43.75 / $104.95	Professional		$32.74	$43.75	$104.95