Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.35 / $16.80 / $156.01	Facility		$15.35	$16.80	$156.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.97 / $17.54 / $47.35	Professional		$15.97	$17.54	$47.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.45 / $43.26 / $54.08	Professional		$32.45	$43.26	$54.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.41 / $70.92 / $171.67	Facility		$27.41	$70.92	$171.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.30 / $34.94 / $50.29	Professional		$25.30	$34.94	$50.29
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $56.80 / $81.08 / $114.35	Facility		$56.80	$81.08	$114.35
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $29.22 / $97.57 / $167.12	Professional		$29.22	$97.57	$167.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.21 / $36.21 / $42.96	Facility		$36.21	$36.21	$42.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.43 / $26.43 / $37.29	Professional		$26.43	$26.43	$37.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $34.69 / $59.49	Professional		$28.91	$34.69	$59.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.45 / $37.86 / $90.00	Professional		$32.45	$37.86	$90.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.85 / $256.88 / $256.88	Facility		$90.85	$256.88	$256.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $269.32 / $269.32 / $405.60	Professional		$269.32	$269.32	$405.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $162.40	Professional		$32.34	$32.34	$162.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.68 / $49.00 / $54.82	Facility		$15.68	$49.00	$54.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.43 / $36.21 / $51.47	Professional		$26.43	$36.21	$51.47
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $102.05 / $102.05 / $102.05	Professional		$102.05	$102.05	$102.05
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $43.26 / $43.37	Professional		$28.91	$43.26	$43.37
United Facility/Professional Professional Modifier Low / Median / High Price $22.63 / $24.70 / $50.17	Professional		$22.63	$24.70	$50.17