Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.60 / $134.72 / $336.02	Facility		$40.60	$134.72	$336.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.28 / $40.60 / $188.00	Professional		$31.28	$40.60	$188.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.28 / $20.28 / $74.61	Professional		$20.28	$20.28	$74.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.46 / $97.81 / $312.00	Facility		$43.46	$97.81	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $39.68 / $97.17	Professional		$17.32	$39.68	$97.17
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $56.30 / $99.82 / $433.18	Facility		$56.30	$99.82	$433.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $21.75 / $31.07 / $119.42	Professional		$21.75	$31.07	$119.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.79 / $70.12 / $135.75	Facility		$29.79	$70.12	$135.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.77 / $39.18 / $146.63	Professional		$23.77	$39.18	$146.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $32.44 / $40.54 / $54.74	Professional		$32.44	$40.54	$54.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.50 / $47.85 / $89.21	Professional		$36.50	$47.85	$89.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $70.56 / $192.61 / $192.61	Facility		$70.56	$192.61	$192.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $202.75 / $202.75 / $304.13	Professional		$202.75	$202.75	$304.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.66 / $48.66 / $48.66	Professional		$48.66	$48.66	$48.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.69 / $52.19 / $116.54	Facility		$37.69	$52.19	$116.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.95 / $47.66 / $110.99	Professional		$25.95	$47.66	$110.99
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $142.33 / $142.33 / $142.33	Professional		$142.33	$142.33	$142.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $32.44 / $36.50 / $55.15	Professional		$32.44	$36.50	$55.15
United Facility/Professional Professional Modifier Low / Median / High Price $17.03 / $20.07 / $104.34	Professional		$17.03	$20.07	$104.34