Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.49 / $174.21 / $220.28	Facility		$29.49	$174.21	$220.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $25.15 / $55.88	Professional		$19.55	$25.15	$55.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.85 / $16.76 / $27.94	Professional		$12.85	$16.76	$27.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.61 / $67.39 / $297.56	Facility		$30.61	$67.39	$297.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $22.01 / $65.01	Professional		$13.80	$22.01	$65.01
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $54.07 / $92.60 / $355.65	Facility		$54.07	$92.60	$355.65
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $24.74 / $80.18	Professional		$17.32	$24.74	$80.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.34 / $36.68 / $93.52	Facility		$19.34	$36.68	$93.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.55 / $33.21 / $46.40	Professional		$18.55	$33.21	$46.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $24.71 / $27.94 / $44.70	Professional		$24.71	$27.94	$44.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.35 / $27.94 / $62.32	Professional		$22.35	$27.94	$62.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $71.87 / $133.26 / $133.26	Facility		$71.87	$133.26	$133.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $25.02 / $33.45 / $53.22	Professional		$25.02	$33.45	$53.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.76 / $16.76 / $16.76	Professional		$16.76	$16.76	$16.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.70 / $32.13 / $72.89	Facility		$22.70	$32.13	$72.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.55 / $27.94 / $55.88	Professional		$18.55	$27.94	$55.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $98.06 / $98.06 / $98.06	Professional		$98.06	$98.06	$98.06
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $22.35 / $27.94 / $39.11	Professional		$22.35	$27.94	$39.11
United Facility/Professional Professional Modifier Low / Median / High Price $11.73 / $16.76 / $54.03	Professional		$11.73	$16.76	$54.03