Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.56 / $85.48 / $327.75	Facility		$9.56	$85.48	$327.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.53 / $35.52 / $70.86	Professional		$28.53	$35.52	$70.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.38 / $24.45 / $24.45	Professional		$20.38	$24.45	$24.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.65 / $98.29 / $312.00	Facility		$44.65	$98.29	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $32.10 / $94.81	Professional		$20.12	$32.10	$94.81
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.90 / $100.00 / $517.02	Facility		$58.90	$100.00	$517.02
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $25.26 / $36.08 / $100.00	Professional		$25.26	$36.08	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.22 / $53.51 / $136.41	Facility		$28.22	$53.51	$136.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.53 / $49.43 / $72.28	Professional		$26.53	$49.43	$72.28
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $40.75 / $65.20	Professional		$36.22	$40.75	$65.20
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $68.31 / $68.31 / $68.31	Professional		$68.31	$68.31	$68.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.60 / $40.75 / $92.35	Professional		$32.60	$40.75	$92.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $120.84 / $194.61 / $194.61	Facility		$120.84	$194.61	$194.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.45 / $24.45 / $24.45	Professional		$24.45	$24.45	$24.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.72 / $46.86 / $107.90	Facility		$33.72	$46.86	$107.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.13 / $40.75 / $81.50	Professional		$27.13	$40.75	$81.50
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $143.03 / $143.03 / $143.03	Professional		$143.03	$143.03	$143.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $32.60 / $40.75 / $57.05	Professional		$32.60	$40.75	$57.05
United Facility/Professional Professional Modifier Low / Median / High Price $17.12 / $24.45 / $78.80	Professional		$17.12	$24.45	$78.80