Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.27 / $86.85 / $19,584.56	Facility		$42.27	$86.85	$19,584.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.16 / $42.58 / $97.56	Professional		$42.16	$42.58	$97.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $41.11 / $41.11	Professional		$41.11	$41.11	$41.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.73 / $67.34 / $165.20	Facility		$44.73	$67.34	$165.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.85 / $43.43 / $90.33	Professional		$41.85	$43.43	$90.33
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $40.70 / $45.49 / $94.54	Facility		$40.70	$45.49	$94.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $42.96 / $45.11 / $100.00	Professional		$42.96	$45.11	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.77 / $39.77 / $42.16	Facility		$39.77	$39.77	$42.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.16 / $42.16 / $47.88	Professional		$42.16	$42.16	$47.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $40.97 / $41.11 / $55.31	Professional		$40.97	$41.11	$55.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.94 / $50.59 / $92.75	Professional		$37.94	$50.59	$92.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $205.55 / $210.80	Facility		$75.00	$205.55	$210.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,110.43 / $4,110.43 / $4,110.43	Professional		$4,110.43	$4,110.43	$4,110.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.97 / $83.98 / $83.98	Professional		$40.97	$83.98	$83.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.16 / $42.58 / $70.09	Facility		$42.16	$42.58	$70.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.16 / $42.16 / $51.21	Professional		$42.16	$42.16	$51.21
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $58.36 / $58.36 / $58.36	Professional		$58.36	$58.36	$58.36
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $33.72 / $42.16 / $63.24	Professional		$33.72	$42.16	$63.24
United Facility/Professional Professional Modifier Low / Median / High Price $42.16 / $42.16 / $70.65	Professional		$42.16	$42.16	$70.65