Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.45 / $48.79 / $270.45	Facility		$21.45	$48.79	$270.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.67 / $47.91 / $84.06	Professional		$21.67	$47.91	$84.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.42 / $51.42 / $51.42	Professional		$51.42	$51.42	$51.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.14 / $293.00 / $876.00	Facility		$22.14	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.05 / $51.07 / $103.07	Professional		$23.05	$51.07	$103.07
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $28.01 / $63.07 / $100.00	Facility		$28.01	$63.07	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $23.89 / $48.04 / $92.34	Professional		$23.89	$48.04	$92.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.14 / $56.08 / $109.10	Professional		$26.14	$56.08	$109.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $25.13 / $40.21 / $87.57	Professional		$25.13	$40.21	$87.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.68 / $51.29 / $101.04	Professional		$21.68	$51.29	$101.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $98.04 / $111.20 / $111.20	Facility		$98.04	$111.20	$111.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $199.07 / $326.08 / $444.38	Professional		$199.07	$326.08	$444.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $73.91	Professional		$32.34	$32.34	$73.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.84 / $47.82 / $81.70	Facility		$22.84	$47.82	$81.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.25 / $60.87 / $123.69	Professional		$27.25	$60.87	$123.69
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $77.67 / $77.67 / $167.83	Professional		$77.67	$77.67	$167.83
United Facility/Professional Professional Modifier Low / Median / High Price $40.04 / $54.94 / $115.17	Professional		$40.04	$54.94	$115.17