Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.00 / $45.75 / $403.37	Facility		$42.00	$45.75	$403.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.21 / $46.04 / $125.64	Professional		$39.21	$46.04	$125.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.07 / $49.23 / $97.15	Professional		$39.07	$49.23	$97.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $293.00 / $876.00	Facility		$52.48	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.51 / $58.18 / $117.65	Professional		$42.51	$58.18	$117.65
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $46.55 / $87.20 / $172.00	Facility		$46.55	$87.20	$172.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $35.58 / $48.94 / $117.69	Professional		$35.58	$48.94	$117.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.88 / $56.92 / $118.04	Professional		$44.88	$56.92	$118.04
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $38.29 / $48.44 / $65.39	Professional		$38.29	$48.44	$65.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.02 / $48.44 / $85.47	Professional		$39.02	$48.44	$85.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $193.75 / $210.71 / $210.71	Facility		$193.75	$210.71	$210.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $272.33 / $276.67 / $353.63	Professional		$272.33	$276.67	$353.63
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 $41.51 / $52.45 / $71.95	Facility		$41.51	$52.45	$71.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.90 / $63.58 / $117.59	Professional		$45.90	$63.58	$117.59
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $143.66 / $143.66 / $146.06	Professional		$143.66	$143.66	$146.06
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $38.76 / $44.02 / $57.44	Professional		$38.76	$44.02	$57.44
United Facility/Professional Facility Modifier Low / Median / High Price $42.42 / $49.77 / $49.77	Facility		$42.42	$49.77	$49.77
United Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $49.33 / $112.45	Professional		$36.11	$49.33	$112.45