Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.79 / $174.25 / $446.25	Facility		$43.79	$174.25	$446.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.68 / $30.98 / $167.40	Professional		$19.68	$30.98	$167.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.61 / $13.61 / $16.32	Professional		$13.61	$13.61	$16.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.82 / $65.65 / $293.00	Facility		$29.82	$65.65	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.23 / $16.03 / $40.57	Professional		$13.23	$16.03	$40.57
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $91.20 / $252.89	Facility		$53.00	$91.20	$252.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $23.72 / $76.84	Professional		$16.60	$23.72	$76.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.69 / $35.72 / $91.10	Facility		$17.69	$35.72	$91.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $32.45 / $45.58	Professional		$17.39	$32.45	$45.58
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $22.21 / $27.22 / $43.55	Professional		$22.21	$27.22	$43.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.78 / $27.22 / $59.34	Professional		$21.78	$27.22	$59.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $129.30 / $129.30	Facility		$80.00	$129.30	$129.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $37.00 / $37.00	Professional		$37.00	$37.00	$37.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $16.32 / $16.32	Professional		$16.32	$16.32	$16.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.82 / $27.22 / $68.05	Facility		$19.82	$27.22	$68.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.09 / $27.22 / $45.58	Professional		$18.09	$27.22	$45.58
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $95.54 / $95.54 / $95.54	Professional		$95.54	$95.54	$95.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $21.78 / $24.50 / $31.09	Professional		$21.78	$24.50	$31.09
United Facility/Professional Professional Modifier Low / Median / High Price $11.43 / $13.28 / $45.91	Professional		$11.43	$13.28	$45.91