Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.62 / $19.30 / $189.64	Facility		$17.62	$19.30	$189.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $28.72 / $183.57	Professional		$18.00	$28.72	$183.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $55.87 / $55.87 / $55.87	Professional		$55.87	$55.87	$55.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.18 / $36.35 / $96.11	Facility		$30.18	$36.35	$96.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.64 / $41.96 / $61.13	Professional		$29.64	$41.96	$61.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.23 / $90.95 / $138.96	Facility		$69.23	$90.95	$138.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $35.52 / $100.00 / $203.14	Professional		$35.52	$100.00	$203.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.47 / $39.47 / $52.21	Facility		$39.47	$39.47	$52.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.56 / $33.56 / $46.45	Professional		$33.56	$33.56	$46.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $52.58 / $65.73 / $78.88	Professional		$52.58	$65.73	$78.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.44 / $46.01 / $101.88	Professional		$39.44	$46.01	$101.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $133.43 / $312.22 / $312.22	Facility		$133.43	$312.22	$312.22
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $327.33 / $327.33 / $492.98	Professional		$327.33	$327.33	$492.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $197.39 / $197.39 / $197.39	Professional		$197.39	$197.39	$197.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $58.11 / $66.62	Facility		$18.00	$58.11	$66.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.56 / $39.47 / $59.97	Professional		$33.56	$39.47	$59.97
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $124.05 / $124.05 / $124.05	Professional		$124.05	$124.05	$124.05
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $53.35 / $122.05 / $309.14	Professional		$53.35	$122.05	$309.14
United Facility/Professional Professional Modifier Low / Median / High Price $25.02 / $27.87 / $63.97	Professional		$25.02	$27.87	$63.97