Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.21 / $204.96 / $464.21	Facility		$45.21	$204.96	$464.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.34 / $42.84 / $232.40	Professional		$37.34	$42.84	$232.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.12 / $68.12 / $68.12	Professional		$68.12	$68.12	$68.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.92 / $103.33 / $312.00	Facility		$45.92	$103.33	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.15 / $37.78 / $109.88	Professional		$21.15	$37.78	$109.88
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $57.50 / $100.00 / $536.85	Facility		$57.50	$100.00	$536.85
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $26.55 / $37.93 / $116.07	Professional		$26.55	$37.93	$116.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.47 / $73.52 / $149.16	Facility		$31.47	$73.52	$149.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.01 / $46.20 / $210.37	Professional		$28.01	$46.20	$210.37
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $38.08 / $43.79 / $57.83	Professional		$38.08	$43.79	$57.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.56 / $50.55 / $97.08	Professional		$38.56	$50.55	$97.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $74.54 / $204.03 / $204.03	Facility		$74.54	$204.03	$204.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $416.07 / $416.07 / $416.07	Professional		$416.07	$416.07	$416.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.41 / $51.41 / $51.41	Professional		$51.41	$51.41	$51.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.55 / $71.54 / $132.80	Facility		$41.55	$71.54	$132.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.56 / $51.84 / $143.25	Professional		$31.56	$51.84	$143.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $150.36 / $150.36 / $150.36	Professional		$150.36	$150.36	$150.36
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $34.27 / $43.70 / $72.83	Professional		$34.27	$43.70	$72.83
United Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $25.48 / $110.23	Professional		$17.98	$25.48	$110.23