Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $134.90 / $363.08	Facility		$32.36	$134.90	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $33.88 / $162.18	Professional		$25.12	$33.88	$162.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $25.12 / $26.30	Professional		$22.39	$25.12	$26.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $87.10 / $190.55	Facility		$21.38	$87.10	$190.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $31.62 / $107.15	Professional		$18.62	$31.62	$107.15
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $107.15 / $512.86	Facility		$57.54	$107.15	$512.86
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $43.65 / $107.15	Professional		$30.20	$43.65	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $64.57 / $158.49	Facility		$25.12	$64.57	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $38.02 / $60.26	Professional		$22.39	$38.02	$60.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $38.02 / $60.26	Professional		$33.88	$38.02	$60.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.02 / $85.11	Professional		$30.20	$38.02	$85.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $45.71 / $45.71	Professional		$22.39	$45.71	$45.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $45.71 / $107.15	Facility		$31.62	$45.71	$107.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $34.67 / $85.11	Professional		$22.39	$34.67	$85.11
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $37.15 / $57.54	Professional		$30.20	$37.15	$57.54
United Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $22.39 / $38.02	Facility		$16.98	$22.39	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $22.39 / $75.86	Professional		$15.85	$22.39	$75.86