Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.35 / $118.50 / $225.75	Facility		$34.35	$118.50	$225.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.76 / $21.43 / $36.11	Professional		$12.76	$21.43	$36.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.04 / $14.45 / $21.67	Professional		$12.04	$14.45	$21.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.38 / $58.08 / $293.00	Facility		$26.38	$58.08	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $27.95 / $46.59	Professional		$11.89	$27.95	$46.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $50.84 / $92.60 / $310.83	Facility		$50.84	$92.60	$310.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $14.92 / $21.32 / $90.02	Professional		$14.92	$21.32	$90.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.82 / $31.61 / $80.59	Facility		$16.82	$31.61	$80.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.70 / $29.24 / $41.06	Professional		$15.70	$29.24	$41.06
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $24.08 / $38.53	Professional		$20.26	$24.08	$38.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.26 / $24.08 / $52.98	Professional		$19.26	$24.08	$52.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $114.38 / $114.38	Facility		$80.00	$114.38	$114.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $21.67 / $28.78 / $43.02	Professional		$21.67	$28.78	$43.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Professional		$14.45	$14.45	$14.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.55 / $25.28 / $60.20	Facility		$19.55	$25.28	$60.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $24.08 / $36.15	Professional		$16.00	$24.08	$36.15
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $84.52 / $84.52 / $84.52	Professional		$84.52	$84.52	$84.52
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $19.26 / $21.67 / $28.36	Professional		$19.26	$21.67	$28.36
United Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $14.33 / $45.44	Professional		$10.11	$14.33	$45.44