Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.94 / $135.00 / $282.47	Facility		$14.94	$135.00	$282.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.58 / $33.57 / $57.75	Professional		$28.58	$33.57	$57.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.10 / $23.10 / $26.74	Professional		$23.10	$23.10	$26.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.18 / $92.86 / $312.00	Facility		$42.18	$92.86	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.01 / $30.33 / $81.78	Professional		$19.01	$30.33	$81.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $57.10 / $97.90 / $410.78	Facility		$57.10	$97.90	$410.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $23.86 / $34.09 / $99.77	Professional		$23.86	$34.09	$99.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.63 / $50.56 / $128.90	Facility		$26.63	$50.56	$128.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.25 / $46.88 / $68.67	Professional		$25.25	$46.88	$68.67
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $33.18 / $38.50 / $61.60	Professional		$33.18	$38.50	$61.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.80 / $38.51 / $84.70	Professional		$30.80	$38.51	$84.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $140.83 / $183.99 / $183.99	Facility		$140.83	$183.99	$183.99
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $34.65 / $48.13 / $73.12	Professional		$34.65	$48.13	$73.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.10 / $23.10 / $23.10	Professional		$23.10	$23.10	$23.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.85 / $43.74 / $103.28	Facility		$31.85	$43.74	$103.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.51 / $38.50 / $77.00	Professional		$25.51	$38.50	$77.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $135.13 / $135.13 / $135.13	Professional		$135.13	$135.13	$135.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $30.80 / $38.50 / $53.90	Professional		$30.80	$38.50	$53.90
United Facility/Professional Professional Modifier Low / Median / High Price $16.17 / $23.10 / $73.95	Professional		$16.17	$23.10	$73.95