Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $120.23 / $371.54	Facility		$28.84	$120.23	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $36.31 / $239.88	Professional		$26.92	$36.31	$239.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $24.55	Professional		$22.39	$22.39	$24.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $85.11 / $181.97	Facility		$20.89	$85.11	$181.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $31.62 / $102.33	Professional		$18.20	$31.62	$102.33
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $102.33 / $489.78	Facility		$56.23	$102.33	$489.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $41.69 / $104.71	Professional		$28.84	$41.69	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $61.66 / $134.90	Facility		$24.55	$61.66	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $37.15 / $60.26	Professional		$21.88	$37.15	$60.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $36.31 / $58.88	Professional		$32.36	$36.31	$58.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $36.31 / $81.28	Professional		$29.51	$36.31	$81.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $229.09	Facility		$186.21	$186.21	$229.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $43.65 / $43.65	Professional		$21.88	$43.65	$43.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $43.65 / $109.65	Facility		$30.20	$43.65	$109.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $33.88 / $83.18	Professional		$21.88	$33.88	$83.18
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $37.15 / $61.66	Professional		$29.51	$37.15	$61.66
United Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $21.88 / $36.31	Facility		$16.60	$21.88	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $21.88 / $74.13	Professional		$15.49	$21.88	$74.13