Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.21 / $27.61 / $256.33	Facility		$25.21	$27.61	$256.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.60 / $28.81 / $71.04	Professional		$27.60	$28.81	$71.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.31 / $71.08 / $89.37	Professional		$53.31	$71.08	$89.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.02 / $116.52 / $282.04	Facility		$45.02	$116.52	$282.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $57.66 / $82.63	Professional		$39.00	$57.66	$82.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $91.30 / $105.17 / $187.80	Facility		$91.30	$105.17	$187.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $48.02 / $117.89 / $274.58	Professional		$48.02	$117.89	$274.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.47 / $59.47 / $70.56	Facility		$59.47	$59.47	$70.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $43.41 / $61.25	Professional		$43.41	$43.41	$61.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $47.49 / $56.99 / $97.74	Professional		$47.49	$56.99	$97.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.31 / $62.20 / $135.05	Professional		$53.31	$62.20	$135.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $180.37 / $422.04 / $422.04	Facility		$180.37	$422.04	$422.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $442.47 / $442.47 / $666.38	Professional		$442.47	$442.47	$666.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $182.14 / $182.14 / $182.14	Professional		$182.14	$182.14	$182.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.75 / $78.53 / $88.85	Facility		$25.75	$78.53	$88.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $59.47 / $81.06	Professional		$43.41	$59.47	$81.06
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $167.68 / $167.68 / $167.68	Professional		$167.68	$167.68	$167.68
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $47.49 / $71.08 / $71.23	Professional		$47.49	$71.08	$71.23
United Facility/Professional Professional Modifier Low / Median / High Price $36.88 / $40.59 / $86.46	Professional		$36.88	$40.59	$86.46