Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.72 / $106.67 / $270.83	Facility		$39.72	$106.67	$270.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $31.35 / $47.68	Professional		$22.02	$31.35	$47.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $17.55 / $55.79	Professional		$17.55	$17.55	$55.79
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 $19.14 / $32.00 / $89.47	Professional		$19.14	$32.00	$89.47
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $56.80 / $97.65 / $429.39	Facility		$56.80	$97.65	$429.39
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $21.75 / $31.07 / $119.70	Professional		$21.75	$31.07	$119.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.78 / $60.67 / $122.17	Facility		$25.78	$60.67	$122.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $37.79 / $173.64	Professional		$22.91	$37.79	$173.64
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $30.54 / $35.11 / $47.37	Professional		$30.54	$35.11	$47.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $40.35 / $77.20	Professional		$31.58	$40.35	$77.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $61.37 / $166.68 / $166.68	Facility		$61.37	$166.68	$166.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $175.45 / $178.45 / $263.18	Professional		$175.45	$178.45	$263.18
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 / $45.62 / $103.63	Facility		$32.61	$45.62	$103.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.54 / $42.46 / $116.94	Professional		$24.54	$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 / $34.20 / $51.92	Professional		$28.07	$34.20	$51.92
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $20.11 / $93.88	Professional		$14.74	$20.11	$93.88