Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $239.88 / $724.44	Facility		$61.66	$239.88	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $41.69 / $190.55	Professional		$24.55	$41.69	$190.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $33.88 / $91.20	Professional		$13.18	$33.88	$91.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $20.42 / $229.09	Facility		$18.20	$20.42	$229.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $40.74 / $83.18	Professional		$17.38	$40.74	$83.18
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $144.54 / $489.78	Facility		$58.88	$144.54	$489.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $51.29 / $97.72	Professional		$36.31	$51.29	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $58.88 / $141.25	Facility		$24.55	$58.88	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $38.02 / $61.66	Professional		$22.39	$38.02	$61.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $50.12 / $398.11	Professional		$25.70	$50.12	$398.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $53.70 / $186.21	Professional		$33.11	$53.70	$186.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $30.20 / $60.26	Professional		$19.95	$30.20	$60.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $41.69 / $107.15	Facility		$23.44	$41.69	$107.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $32.36 / $89.13	Professional		$22.39	$32.36	$89.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $21.38 / $28.18	Facility		$17.78	$21.38	$28.18
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $19.95 / $93.33	Professional		$16.60	$19.95	$93.33