Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.29 / $72.51 / $20,021.90	Facility		$33.29	$72.51	$20,021.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $39.93 / $24,960.00	Professional		$32.96	$39.93	$24,960.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $33.00 / $60.72	Professional		$33.00	$33.00	$60.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.97 / $52.65 / $129.15	Facility		$34.97	$52.65	$129.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $34.24 / $71.22	Professional		$32.96	$34.24	$71.22
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $33.10 / $36.99 / $72.73	Facility		$33.10	$36.99	$72.73
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $34.61 / $87.27	Professional		$32.96	$34.61	$87.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.10 / $31.10 / $32.96	Facility		$31.10	$31.10	$32.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $32.96 / $39.72	Professional		$32.96	$32.96	$39.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $32.35 / $43.60	Professional		$32.29	$32.35	$43.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.66 / $39.54 / $74.16	Professional		$29.66	$39.54	$74.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $161.75 / $164.80	Facility		$75.00	$161.75	$164.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,942.31 / $1,942.31 / $1,942.31	Professional		$1,942.31	$1,942.31	$1,942.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $66.21 / $66.21	Professional		$32.29	$66.21	$66.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.96 / $34.28 / $56.18	Facility		$32.96	$34.28	$56.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $32.96 / $40.38	Professional		$32.96	$32.96	$40.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $50.83 / $50.83 / $50.83	Professional		$50.83	$50.83	$50.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $26.37 / $32.96 / $49.45	Professional		$26.37	$32.96	$49.45
United Facility/Professional Facility Modifier Low / Median / High Price $32.96 / $32.96 / $32.96	Facility		$32.96	$32.96	$32.96
United Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $32.96 / $63.45	Professional		$32.96	$32.96	$63.45