Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $154.88 / $501.19	Facility		$27.54	$154.88	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $57.54 / $162.18	Professional		$50.12	$57.54	$162.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $38.02 / $56.23	Professional		$30.90	$38.02	$56.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $144.54 / $309.03	Facility		$35.48	$144.54	$309.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $53.70 / $181.97	Professional		$30.90	$53.70	$181.97
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $173.78 / $831.76	Facility		$60.26	$173.78	$831.76
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $70.79 / $177.83	Professional		$48.98	$70.79	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $104.71 / $229.09	Facility		$41.69	$104.71	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $61.66 / $97.72	Professional		$37.15	$61.66	$97.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $61.66 / $100.00	Professional		$43.65	$61.66	$100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $61.66 / $120.23	Professional		$50.12	$61.66	$120.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $58.88 / $117.49	Professional		$52.48	$58.88	$117.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $74.13 / $74.13	Professional		$37.15	$74.13	$74.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $74.13 / $177.83	Facility		$51.29	$74.13	$177.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $57.54 / $141.25	Professional		$37.15	$57.54	$141.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Professional		$218.78	$218.78	$218.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $56.23 / $74.13	Professional		$43.65	$56.23	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $37.15 / $61.66	Facility		$26.30	$37.15	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $37.15 / $123.03	Professional		$26.30	$37.15	$123.03