Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.83 / $153.21 / $350.51	Facility		$35.83	$153.21	$350.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.42 / $37.04 / $50.86	Professional		$25.42	$37.04	$50.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.52 / $30.52 / $30.52	Professional		$30.52	$30.52	$30.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.73 / $122.67 / $312.00	Facility		$55.73	$122.67	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.34 / $26.74 / $48.32	Professional		$20.34	$26.74	$48.32
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $48.20 / $90.53 / $173.97	Facility		$48.20	$90.53	$173.97
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $21.04 / $30.06 / $100.00	Professional		$21.04	$30.06	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.06 / $66.78 / $165.00	Facility		$33.06	$66.78	$165.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $54.45 / $77.44	Professional		$21.60	$54.45	$77.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $15.13 / $50.86 / $81.38	Professional		$15.13	$50.86	$81.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.69 / $50.86 / $99.18	Professional		$40.69	$50.86	$99.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $81.38 / $241.59 / $241.59	Facility		$81.38	$241.59	$241.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.51 / $30.51 / $30.51	Professional		$30.51	$30.51	$30.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.06 / $50.86 / $121.27	Facility		$33.06	$50.86	$121.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.98 / $45.77 / $61.03	Professional		$23.98	$45.77	$61.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $178.51 / $178.51 / $178.51	Professional		$178.51	$178.51	$178.51
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $15.43 / $25.72 / $45.77	Professional		$15.43	$25.72	$45.77
United Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $21.36 / $68.28	Professional		$10.50	$21.36	$68.28