Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.55 / $55.32 / $520.90	Facility		$20.55	$55.32	$520.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.55 / $48.57	Professional		$20.35	$20.55	$48.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.60 / $25.60 / $29.68	Professional		$25.60	$25.60	$29.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.81 / $32.51 / $72.87	Facility		$21.81	$32.51	$72.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $29.34 / $120.93	Professional		$20.35	$29.34	$120.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $57.30 / $95.50 / $176.29	Facility		$57.30	$95.50	$176.29
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $20.74 / $21.78 / $76.59	Professional		$20.74	$21.78	$76.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.20 / $19.20 / $20.35	Facility		$19.20	$19.20	$20.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.35 / $28.79	Professional		$20.35	$20.35	$28.79
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $25.60 / $46.35 / $62.57	Professional		$25.60	$46.35	$62.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.32 / $24.42 / $61.05	Professional		$18.32	$24.42	$61.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $272.45 / $628.59 / $628.59	Facility		$272.45	$628.59	$628.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $573.77 / $573.77 / $573.77	Professional		$573.77	$573.77	$573.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.35 / $95.01 / $95.01	Professional		$46.35	$95.01	$95.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.35 / $23.86 / $67.93	Facility		$20.35	$23.86	$67.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.35 / $119.51	Professional		$20.35	$20.35	$119.51
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $88.78 / $88.78 / $88.78	Professional		$88.78	$88.78	$88.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $16.28 / $20.35 / $30.52	Professional		$16.28	$20.35	$30.52
United Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.35 / $40.86	Professional		$20.35	$20.35	$40.86