Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $125.89 / $354.81	Facility		$77.62	$125.89	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $56.23 / $354.81	Professional		$36.31	$56.23	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Professional		$33.11	$33.11	$33.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $125.89 / $269.15	Facility		$25.12	$125.89	$269.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $22.91 / $112.20	Professional		$21.88	$22.91	$112.20
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $123.03 / $154.88	Facility		$38.90	$123.03	$154.88
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $42.66 / $125.89	Professional		$31.62	$42.66	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $95.50 / $194.98	Facility		$36.31	$95.50	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $61.66 / $81.28	Professional		$28.84	$61.66	$81.28
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $87.10 / $275.42	Professional		$53.70	$87.10	$275.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $53.70 / $120.23	Professional		$43.65	$53.70	$120.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $64.57 / $64.57	Professional		$32.36	$64.57	$64.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $64.57 / $162.18	Facility		$46.77	$64.57	$162.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $53.70 / $109.65	Professional		$28.84	$53.70	$109.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $54.95 / $93.33	Professional		$43.65	$54.95	$93.33
United Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $30.20 / $53.70	Facility		$24.55	$30.20	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $24.55 / $97.72	Professional		$22.91	$24.55	$97.72