Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.01 / $41.88 / $239.69	Facility		$38.01	$41.88	$239.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.29 / $41.10 / $112.07	Professional		$36.29	$41.10	$112.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.40 / $39.63 / $70.09	Professional		$32.40	$39.63	$70.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.51 / $293.00 / $876.00	Facility		$47.51	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.88 / $52.97 / $107.61	Professional		$35.88	$52.97	$107.61
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $45.50 / $84.27 / $151.55	Facility		$45.50	$84.27	$151.55
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $32.24 / $44.54 / $106.06	Professional		$32.24	$44.54	$106.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.27 / $51.74 / $107.80	Professional		$40.27	$51.74	$107.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $35.02 / $42.48 / $57.35	Professional		$35.02	$42.48	$57.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.89 / $41.60 / $76.75	Professional		$33.89	$41.60	$76.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $168.01 / $182.73 / $182.73	Facility		$168.01	$182.73	$182.73
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $247.05 / $251.44 / $307.73	Professional		$247.05	$251.44	$307.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $56.39	Professional		$32.34	$32.34	$56.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.32 / $46.16 / $63.72	Facility		$37.32	$46.16	$63.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.53 / $57.89 / $105.87	Professional		$41.53	$57.89	$105.87
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $131.34 / $131.34 / $133.74	Professional		$131.34	$131.34	$133.74
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $33.58 / $38.61 / $52.53	Professional		$33.58	$38.61	$52.53
United Facility/Professional Facility Modifier Low / Median / High Price $44.79 / $44.79 / $44.79	Facility		$44.79	$44.79	$44.79
United Facility/Professional Professional Modifier Low / Median / High Price $33.04 / $46.28 / $111.40	Professional		$33.04	$46.28	$111.40