Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.69 / $313.50 / $627.00	Facility		$48.69	$313.50	$627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.77 / $72.93 / $438.77	Professional		$38.77	$72.93	$438.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.61 / $91.63 / $277.61	Professional		$46.61	$91.63	$277.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.71 / $30.99 / $34.97	Facility		$26.71	$30.99	$34.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.97 / $41.22 / $98.78	Professional		$26.97	$41.22	$98.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $85.27 / $107.18 / $171.65	Facility		$85.27	$107.18	$171.65
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $31.56 / $41.24 / $100.00	Professional		$31.56	$41.24	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.58 / $61.58 / $61.58	Facility		$61.58	$61.58	$61.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.80 / $48.80 / $48.80	Professional		$48.80	$48.80	$48.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $45.74 / $64.38 / $86.91	Professional		$45.74	$64.38	$86.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.43 / $69.28 / $117.04	Professional		$52.43	$69.28	$117.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $93.05 / $276.56 / $276.74	Facility		$93.05	$276.56	$276.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $345.93 / $345.93 / $446.63	Professional		$345.93	$345.93	$446.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $65.00	Professional		$32.34	$32.34	$65.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.01 / $65.98 / $93.39	Facility		$42.01	$65.98	$93.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.80 / $48.80 / $137.90	Professional		$48.80	$48.80	$137.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $182.64 / $182.64 / $182.64	Professional		$182.64	$182.64	$182.64
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $45.74 / $52.05 / $71.56	Professional		$45.74	$52.05	$71.56
United Facility/Professional Professional Modifier Low / Median / High Price $26.13 / $53.72 / $140.13	Professional		$26.13	$53.72	$140.13