Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $181.97 / $275.42	Facility		$48.98	$181.97	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $47.86 / $89.13	Professional		$32.36	$47.86	$89.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $51.29 / $52.48	Facility		$45.71	$51.29	$52.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $81.28 / $141.25	Professional		$51.29	$81.28	$141.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $100.00 / $1,949.84	Facility		$58.88	$100.00	$1,949.84
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $58.88 / $117.49	Professional		$37.15	$58.88	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $58.88 / $120.23	Professional		$38.90	$58.88	$120.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $51.29 / $85.11	Professional		$33.11	$51.29	$85.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $51.29 / $102.33	Professional		$27.54	$51.29	$102.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $426.58 / $426.58	Professional		$309.03	$426.58	$426.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $52.48 / $89.13	Facility		$33.11	$52.48	$89.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $63.10 / $123.03	Professional		$40.74	$63.10	$123.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $165.96	Professional		$117.49	$117.49	$165.96
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $57.54 / $75.86	Professional		$30.20	$57.54	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $61.66 / $93.33	Facility		$58.88	$61.66	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $48.98 / $95.50	Professional		$30.90	$48.98	$95.50