Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $114.82 / $478.63	Facility		$19.95	$114.82	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $61.66 / $162.18	Professional		$22.91	$61.66	$162.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $56.23 / $91.20	Professional		$52.48	$56.23	$91.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $29.51 / $74.13	Facility		$23.44	$29.51	$74.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $70.79	Professional		$26.30	$26.30	$70.79
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $131.83 / $223.87	Professional		$77.62	$131.83	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $44.67 / $44.67	Facility		$40.74	$44.67	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $44.67	Professional		$38.02	$38.02	$44.67
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $77.62 / $95.50	Professional		$56.23	$77.62	$95.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $63.10 / $123.03	Professional		$48.98	$63.10	$123.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Facility		$331.13	$331.13	$331.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $524.81 / $524.81	Professional		$354.81	$524.81	$524.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $64.57 / $89.13	Facility		$21.38	$64.57	$89.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $67.61	Professional		$38.02	$38.02	$67.61
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $63.10	Professional		$56.23	$56.23	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $28.84 / $47.86	Facility		$5.25	$28.84	$47.86
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $34.67 / $70.79	Professional		$28.84	$34.67	$70.79