Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.45 / $212.80 / $1,827.00	Facility		$78.45	$212.80	$1,827.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.68 / $86.30 / $447.00	Professional		$70.68	$86.30	$447.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.66 / $67.66 / $67.66	Professional		$67.66	$67.66	$67.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.22 / $361.22 / $876.00	Facility		$35.22	$361.22	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.91 / $107.08 / $213.80	Professional		$82.91	$107.08	$213.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $57.10 / $100.00 / $363.91	Facility		$57.10	$100.00	$363.91
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $66.09 / $87.17 / $198.21	Professional		$66.09	$87.17	$198.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.01 / $127.38 / $150.88	Facility		$113.01	$127.38	$150.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.06 / $103.01 / $224.75	Professional		$69.06	$103.01	$224.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $68.56 / $89.43 / $120.73	Professional		$68.56	$89.43	$120.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.33 / $93.41 / $175.14	Professional		$71.33	$93.41	$175.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $161.77 / $333.03 / $378.15	Facility		$161.77	$333.03	$378.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $484.57 / $484.57 / $601.65	Professional		$484.57	$484.57	$601.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $55.15	Professional		$32.34	$32.34	$55.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.73 / $98.86 / $157.05	Facility		$74.73	$98.86	$157.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $71.17 / $112.87 / $220.71	Professional		$71.17	$112.87	$220.71
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $259.68 / $259.68 / $259.68	Professional		$259.68	$259.68	$259.68
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $72.33 / $96.00 / $116.57	Professional		$72.33	$96.00	$116.57
United Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $80.59 / $230.28	Professional		$60.29	$80.59	$230.28