Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.03 / $160.19 / $285.39	Facility		$20.03	$160.19	$285.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $45.36 / $88.72	Professional		$21.48	$45.36	$88.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.73 / $15.27 / $15.27	Professional		$12.73	$15.27	$15.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.89 / $61.39 / $293.00	Facility		$27.89	$61.39	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $20.04 / $57.18	Professional		$12.57	$20.04	$57.18
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $46.89 / $87.40 / $236.35	Facility		$46.89	$87.40	$236.35
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15.77 / $22.53 / $56.67	Professional		$15.77	$22.53	$56.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.60 / $33.40 / $85.18	Facility		$17.60	$33.40	$85.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $30.93 / $45.18	Professional		$16.55	$30.93	$45.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $20.47 / $25.45 / $40.72	Professional		$20.47	$25.45	$40.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.36 / $25.45 / $56.77	Professional		$20.36	$25.45	$56.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $61.03 / $121.47 / $121.47	Facility		$61.03	$121.47	$121.47
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $31.81 / $50.46	Professional		$22.91	$31.81	$50.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.27 / $15.27 / $15.27	Professional		$15.27	$15.27	$15.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.09 / $29.44 / $72.88	Facility		$19.09	$29.44	$72.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $25.45 / $50.90	Professional		$16.93	$25.45	$50.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $89.32 / $89.32 / $89.32	Professional		$89.32	$89.32	$89.32
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $20.36 / $22.91 / $28.66	Professional		$20.36	$22.91	$28.66
United Facility/Professional Professional Modifier Low / Median / High Price $10.69 / $15.27 / $50.62	Professional		$10.69	$15.27	$50.62