Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.38 / $156.00 / $287.77	Facility		$57.38	$156.00	$287.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $41.97 / $116.70	Professional		$22.81	$41.97	$116.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $55.79 / $64.56	Professional		$17.55	$55.79	$64.56
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 $26.00 / $30.96 / $102.58	Professional		$26.00	$30.96	$102.58
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 $25.94 / $45.84 / $173.64	Professional		$25.94	$45.84	$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 / $41.41 / $79.52	Professional		$31.58	$41.41	$79.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $61.06 / $167.46 / $167.46	Facility		$61.06	$167.46	$167.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $289.44 / $289.44 / $289.44	Professional		$289.44	$289.44	$289.44
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 $34.04 / $58.62 / $111.13	Facility		$34.04	$58.62	$111.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.81 / $45.79 / $107.97	Professional		$27.81	$45.79	$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 / $35.79 / $59.65	Professional		$28.07	$35.79	$59.65
United Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $29.83 / $70.43	Professional		$21.05	$29.83	$70.43