Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.69 / $54.74 / $272.38	Facility		$36.69	$54.74	$272.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.54 / $45.71 / $69.78	Professional		$32.54	$45.71	$69.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $171.40 / $171.40 / $171.40	Professional		$171.40	$171.40	$171.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.16 / $46.77 / $51.96	Facility		$44.16	$46.77	$51.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.85 / $72.47 / $136.75	Professional		$44.85	$72.47	$136.75
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $62.08 / $97.00 / $1,701.50	Facility		$62.08	$97.00	$1,701.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $53.45 / $101.16	Professional		$37.20	$53.45	$101.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.14 / $57.14 / $57.14	Facility		$57.14	$57.14	$57.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.86 / $59.47 / $136.63	Professional		$38.86	$59.47	$136.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $38.49 / $51.96 / $79.87	Professional		$38.49	$51.96	$79.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $51.80 / $102.93	Professional		$32.36	$51.80	$102.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $134.37 / $170.86 / $170.86	Facility		$134.37	$170.86	$170.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $218.54 / $311.85 / $429.60	Professional		$218.54	$311.85	$429.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.45 / $49.51 / $75.65	Facility		$34.45	$49.51	$75.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.01 / $64.77 / $125.79	Professional		$40.01	$64.77	$125.79
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $117.53 / $117.53 / $165.61	Professional		$117.53	$117.53	$165.61
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $34.97 / $54.10 / $68.27	Professional		$34.97	$54.10	$68.27
United Facility/Professional Professional Modifier Low / Median / High Price $39.21 / $55.88 / $124.61	Professional		$39.21	$55.88	$124.61