Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $263.03 / $588.84	Facility		$61.66	$263.03	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $50.12 / $208.93	Professional		$38.90	$50.12	$208.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $35.48	Professional		$25.70	$25.70	$35.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $120.23 / $257.04	Facility		$29.51	$120.23	$257.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $64.57 / $131.83	Professional		$25.12	$64.57	$131.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $144.54 / $691.83	Facility		$61.66	$144.54	$691.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $60.26 / $141.25	Professional		$42.66	$60.26	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $89.13 / $186.21	Facility		$34.67	$89.13	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $52.48 / $77.62	Professional		$30.20	$52.48	$77.62
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $51.29 / $81.28	Professional		$45.71	$51.29	$81.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $51.29 / $114.82	Professional		$40.74	$51.29	$114.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $61.66 / $61.66	Professional		$30.90	$61.66	$61.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $58.88 / $151.36	Facility		$39.81	$58.88	$151.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $46.77 / $117.49	Professional		$30.20	$46.77	$117.49
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $51.29 / $77.62	Professional		$40.74	$51.29	$77.62
United Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $35.48 / $51.29	Facility		$22.91	$35.48	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $30.20 / $102.33	Professional		$21.38	$30.20	$102.33