Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $58.88 / $70.79	Facility		$38.02	$58.88	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $61.66 / $338.84	Professional		$33.88	$61.66	$338.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $54.95 / $104.71	Professional		$39.81	$54.95	$104.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $95.50	Facility		$87.10	$87.10	$95.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $125.89 / $213.80	Professional		$45.71	$125.89	$213.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $69.18 / $123.03	Professional		$44.67	$69.18	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $70.79 / $151.36	Professional		$44.67	$70.79	$151.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $57.54 / $95.50	Professional		$39.81	$57.54	$95.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $51.29 / $75.86	Professional		$32.36	$51.29	$75.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $57.54 / $91.20	Facility		$34.67	$57.54	$91.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $74.13 / $144.54	Professional		$44.67	$74.13	$144.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $165.96	Professional		$109.65	$109.65	$165.96
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $61.66 / $87.10	Professional		$32.36	$61.66	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $58.88 / $123.03	Professional		$36.31	$58.88	$123.03