Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.84 / $264.49 / $495.05	Facility		$57.84	$264.49	$495.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.72 / $39.94 / $81.22	Professional		$35.72	$39.94	$81.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.92 / $28.58 / $42.87	Professional		$20.92	$28.58	$42.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.19 / $114.88 / $312.00	Facility		$52.19	$114.88	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.52 / $37.52 / $110.46	Professional		$23.52	$37.52	$110.46
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.90 / $100.00 / $604.17	Facility		$58.90	$100.00	$604.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $29.53 / $42.18 / $100.00	Professional		$29.53	$42.18	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.29 / $62.54 / $159.44	Facility		$32.29	$62.54	$159.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.77 / $58.23 / $83.76	Professional		$31.77	$58.23	$83.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $34.86 / $47.63 / $76.20	Professional		$34.86	$47.63	$76.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.10 / $47.63 / $99.00	Professional		$38.10	$47.63	$99.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $143.33 / $260.00 / $260.00	Facility		$143.33	$260.00	$260.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $42.87 / $59.54 / $97.00	Professional		$42.87	$59.54	$97.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.58 / $28.58 / $28.58	Professional		$28.58	$28.58	$28.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.18 / $54.77 / $127.40	Facility		$37.18	$54.77	$127.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.77 / $47.63 / $95.26	Professional		$31.77	$47.63	$95.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $167.18 / $167.18 / $167.18	Professional		$167.18	$167.18	$167.18
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $38.10 / $47.63 / $66.68	Professional		$38.10	$47.63	$66.68
United Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $28.34 / $92.08	Professional		$20.00	$28.34	$92.08