Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $251.19 / $724.44	Facility		$50.12	$251.19	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $56.23 / $173.78	Professional		$47.86	$56.23	$173.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $95.50 / $165.96	Professional		$44.67	$95.50	$165.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $72.44 / $74.13	Facility		$64.57	$72.44	$74.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $81.28 / $151.36	Professional		$52.48	$81.28	$151.36
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $123.03 / $302.00	Facility		$54.95	$123.03	$302.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $72.44 / $141.25	Professional		$54.95	$72.44	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $69.18 / $131.83	Professional		$53.70	$69.18	$131.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $58.88 / $75.86	Professional		$46.77	$58.88	$75.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $52.48 / $83.18	Professional		$39.81	$52.48	$83.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $416.87 / $416.87	Professional		$331.13	$416.87	$416.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $75.86	Professional		$44.67	$44.67	$75.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $61.66 / $95.50	Facility		$48.98	$61.66	$95.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $70.79 / $131.83	Professional		$53.70	$70.79	$131.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $53.70 / $79.43	Professional		$42.66	$53.70	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $154.88 / $239.88	Facility		$151.36	$154.88	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $58.88 / $117.49	Professional		$43.65	$58.88	$117.49