Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.96 / $198.37 / $354.73	Facility		$49.96	$198.37	$354.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.59 / $40.99 / $186.80	Professional		$30.59	$40.99	$186.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.38 / $60.38 / $60.38	Professional		$60.38	$60.38	$60.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.95 / $89.90 / $312.00	Facility		$39.95	$89.90	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $30.96 / $105.10	Professional		$17.32	$30.96	$105.10
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $57.10 / $97.90 / $450.92	Facility		$57.10	$97.90	$450.92
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $24.86 / $31.07 / $100.00	Professional		$24.86	$31.07	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.38 / $63.97 / $128.69	Facility		$27.38	$63.97	$128.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.92 / $39.76 / $183.65	Professional		$22.92	$39.76	$183.65
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $28.64 / $37.27 / $50.31	Professional		$28.64	$37.27	$50.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.54 / $43.98 / $84.46	Professional		$33.54	$43.98	$84.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $70.13 / $177.03 / $177.03	Facility		$70.13	$177.03	$177.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $194.24 / $194.24 / $279.52	Professional		$194.24	$194.24	$279.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.72 / $44.72 / $44.72	Professional		$44.72	$44.72	$44.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.54 / $48.45 / $113.77	Facility		$33.54	$48.45	$113.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.95 / $45.10 / $116.94	Professional		$25.95	$45.10	$116.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $130.81 / $130.81 / $130.81	Professional		$130.81	$130.81	$130.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.21 / $33.54 / $48.69	Professional		$29.21	$33.54	$48.69
United Facility/Professional Professional Modifier Low / Median / High Price $15.65 / $21.11 / $95.90	Professional		$15.65	$21.11	$95.90