Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.98 / $128.00 / $354.73	Facility		$41.98	$128.00	$354.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $38.60 / $52.63	Professional		$22.81	$38.60	$52.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $17.55 / $56.85	Professional		$17.55	$17.55	$56.85
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 / $37.72 / $173.64	Professional		$22.92	$37.72	$173.64
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $30.52 / $35.10 / $47.37	Professional		$30.52	$35.10	$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 $73.33 / $167.46 / $167.46	Facility		$73.33	$167.46	$167.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $263.18 / $288.64 / $288.64	Professional		$263.18	$288.64	$288.64
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 / $47.37 / $111.13	Facility		$32.61	$47.37	$111.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.76 / $42.46 / $116.94	Professional		$25.76	$42.46	$116.94
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 / $34.18 / $51.88	Professional		$28.07	$34.18	$51.88
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $21.05 / $72.89	Professional		$14.74	$21.05	$72.89