Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.82 / $109.20 / $263.27	Facility		$32.82	$109.20	$263.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $82.99 / $146.13	Professional		$30.17	$82.99	$146.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $428.22 / $428.22 / $428.22	Professional		$428.22	$428.22	$428.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $221.00 / $530.00 / $3,398.00	Facility		$221.00	$530.00	$3,398.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.54 / $116.12 / $219.47	Professional		$43.54	$116.12	$219.47
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $35.13 / $71.50 / $112.84	Facility		$35.13	$71.50	$112.84
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $36.60 / $100.00 / $250.52	Professional		$36.60	$100.00	$250.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.38 / $46.38 / $113.04	Facility		$46.38	$46.38	$113.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.77 / $88.52 / $211.15	Professional		$31.77	$88.52	$211.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $45.21 / $138.32	Professional		$32.96	$45.21	$138.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $82.29 / $159.60	Professional		$28.88	$82.29	$159.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $140.77 / $143.31 / $143.31	Facility		$140.77	$143.31	$143.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $304.58 / $586.42 / $686.70	Professional		$304.58	$586.42	$686.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $68.27	Professional		$32.34	$32.34	$68.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.77 / $71.05 / $145.22	Facility		$29.77	$71.05	$145.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $91.81 / $211.03	Professional		$33.36	$91.81	$211.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $96.70 / $96.70 / $278.23	Professional		$96.70	$96.70	$278.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $26.64 / $74.79 / $118.33	Professional		$26.64	$74.79	$118.33
United Facility/Professional Professional Modifier Low / Median / High Price $65.30 / $95.42 / $213.10	Professional		$65.30	$95.42	$213.10