Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $141.25 / $371.54	Facility		$40.74	$141.25	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $32.36 / $223.87	Professional		$25.12	$32.36	$223.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Professional		$22.39	$22.39	$22.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $79.43 / $169.82	Facility		$19.50	$79.43	$169.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $28.84 / $100.00	Professional		$16.60	$28.84	$100.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $100.00 / $457.09	Facility		$56.23	$100.00	$457.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $38.90 / $100.00	Professional		$26.92	$38.90	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $57.54 / $125.89	Facility		$22.91	$57.54	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $33.88 / $56.23	Professional		$19.95	$33.88	$56.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $33.88 / $53.70	Professional		$30.20	$33.88	$53.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.88 / $75.86	Professional		$26.92	$33.88	$75.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $40.74 / $40.74	Professional		$20.42	$40.74	$40.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $40.74 / $97.72	Facility		$28.18	$40.74	$97.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $31.62 / $77.62	Professional		$19.95	$31.62	$77.62
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $34.67 / $57.54	Professional		$26.92	$34.67	$57.54
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $20.42 / $33.88	Facility		$15.14	$20.42	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $20.42 / $67.61	Professional		$14.13	$20.42	$67.61