Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $144.54 / $288.40	Facility		$52.48	$144.54	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $23.99 / $169.82	Professional		$18.20	$23.99	$169.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.51 / $17.78	Professional		$8.51	$8.51	$17.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $58.88 / $128.82	Facility		$14.45	$58.88	$128.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $21.88 / $74.13	Professional		$12.59	$21.88	$74.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $93.33 / $346.74	Facility		$52.48	$93.33	$346.74
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $29.51 / $81.28	Professional		$20.42	$29.51	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $42.66 / $93.33	Facility		$16.98	$42.66	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $25.70 / $42.66	Professional		$15.14	$25.70	$42.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $25.70 / $40.74	Professional		$19.50	$25.70	$40.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.70 / $54.95	Professional		$20.42	$25.70	$54.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $30.90 / $30.90	Professional		$15.14	$30.90	$30.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $30.90 / $72.44	Facility		$20.89	$30.90	$72.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $21.88 / $57.54	Professional		$15.14	$21.88	$57.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.70 / $43.65	Professional		$20.42	$25.70	$43.65
United Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $15.14 / $25.70	Facility		$11.48	$15.14	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $15.14 / $51.29	Professional		$10.72	$15.14	$51.29