Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $141.25 / $588.84	Facility		$34.67	$141.25	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $40.74 / $138.04	Professional		$23.99	$40.74	$138.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $51.29	Professional		$35.48	$35.48	$51.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $9.77 / $162.18	Facility		$8.71	$9.77	$162.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $39.81 / $79.43	Professional		$29.51	$39.81	$79.43
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $100.00 / $229.09	Facility		$52.48	$100.00	$229.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $43.65 / $89.13	Professional		$30.90	$43.65	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $199.53 / $524.81	Facility		$50.12	$199.53	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $38.02 / $72.44	Professional		$25.70	$38.02	$72.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $40.74 / $54.95	Professional		$20.89	$40.74	$54.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.90 / $70.79	Professional		$30.20	$38.90	$70.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $363.08 / $363.08	Facility		$288.40	$363.08	$363.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $263.03 / $263.03	Professional		$204.17	$263.03	$263.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $32.36 / $35.48	Professional		$9.12	$32.36	$35.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $42.66 / $81.28	Facility		$28.18	$42.66	$81.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $39.81 / $79.43	Professional		$25.70	$39.81	$79.43
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $144.54 / $218.78	Facility		$138.04	$144.54	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $30.90 / $64.57	Professional		$21.38	$30.90	$64.57