Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.53 / $46.92 / $199.08	Facility		$21.53	$46.92	$199.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $22.39 / $86.25	Professional		$21.53	$22.39	$86.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.39 / $19.39 / $25.08	Professional		$19.39	$19.39	$25.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.52 / $23.90 / $31.00	Facility		$19.52	$23.90	$31.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.90 / $21.69 / $75.92	Professional		$20.90	$21.69	$75.92
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $39.99 / $44.70 / $76.44	Facility		$39.99	$44.70	$76.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $22.21 / $23.32 / $66.87	Professional		$22.21	$23.32	$66.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.30 / $20.30 / $21.52	Facility		$20.30	$20.30	$21.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.52 / $21.52 / $27.91	Professional		$21.52	$21.52	$27.91
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $20.91 / $26.02 / $31.22	Professional		$20.91	$26.02	$31.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $25.84 / $49.00	Professional		$19.38	$25.84	$49.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $875.64 / $875.64	Facility		$75.00	$875.64	$875.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $826.00 / $971.75 / $1,010.62	Professional		$826.00	$971.75	$1,010.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.91 / $42.86 / $60.00	Professional		$20.91	$42.86	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.53 / $26.14 / $70.81	Facility		$21.53	$26.14	$70.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.52 / $21.52 / $30.85	Professional		$21.52	$21.52	$30.85
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $47.92 / $47.92 / $47.92	Professional		$47.92	$47.92	$47.92
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $17.22 / $21.53 / $32.29	Professional		$17.22	$21.53	$32.29
United Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $21.53 / $44.54	Professional		$21.53	$21.53	$44.54