Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.99 / $177.24 / $354.73	Facility		$40.99	$177.24	$354.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.05 / $41.97 / $59.43	Professional		$26.05	$41.97	$59.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $17.55 / $17.55	Professional		$17.55	$17.55	$17.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.61 / $84.64 / $312.00	Facility		$37.61	$84.64	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $30.96 / $93.98	Professional		$17.32	$30.96	$93.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $57.10 / $97.90 / $439.89	Facility		$57.10	$97.90	$439.89
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 $25.78 / $60.22 / $122.17	Facility		$25.78	$60.22	$122.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.92 / $37.79 / $173.64	Professional		$22.92	$37.79	$173.64
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $31.19 / $35.86 / $47.37	Professional		$31.19	$35.86	$47.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $40.35 / $79.52	Professional		$31.58	$40.35	$79.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $167.46 / $167.46 / $321.41	Facility		$167.46	$167.46	$321.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $384.23 / $384.23 / $384.23	Professional		$384.23	$384.23	$384.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.11 / $42.11 / $42.11	Professional		$42.11	$42.11	$42.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.61 / $47.10 / $113.14	Facility		$32.61	$47.10	$113.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.95 / $42.46 / $107.97	Professional		$25.95	$42.46	$107.97
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $123.16 / $123.16 / $123.16	Professional		$123.16	$123.16	$123.16
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $28.07 / $34.93 / $53.02	Professional		$28.07	$34.93	$53.02
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $21.05 / $90.29	Professional		$14.74	$21.05	$90.29