Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.81 / $366.91 / $838.44	Facility		$72.81	$366.91	$838.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.36 / $25.39 / $95.19	Professional		$7.36	$25.39	$95.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $75.52 / $97.50	Professional		$20.00	$75.52	$97.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.28 / $229.98 / $876.00	Facility		$18.28	$229.98	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.36 / $40.99 / $77.26	Professional		$17.36	$40.99	$77.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.70 / $100.00 / $471.22	Facility		$58.70	$100.00	$471.22
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $28.35 / $40.50 / $61.21	Professional		$28.35	$40.50	$61.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.83 / $45.20 / $127.85	Facility		$22.83	$45.20	$127.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.49 / $47.08 / $61.08	Professional		$23.49	$47.08	$61.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $99.00 / $99.00	Professional		$99.00	$99.00	$99.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $43.38 / $205.56	Professional		$26.00	$43.38	$205.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $98.88 / $221.97 / $221.97	Facility		$98.88	$221.97	$221.97
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $53.48 / $77.45	Professional		$35.00	$53.48	$77.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $30.20	Professional		$20.00	$20.00	$30.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.73 / $39.28 / $93.46	Facility		$22.73	$39.28	$93.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.49 / $34.90 / $58.41	Professional		$23.49	$34.90	$58.41
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $132.08 / $132.08 / $132.08	Professional		$132.08	$132.08	$132.08
United Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $19.86 / $109.15	Professional		$17.50	$19.86	$109.15