Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.54 / $52.54 / $336.52	Facility		$52.54	$52.54	$336.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.55 / $52.54 / $336.52	Professional		$41.55	$52.54	$336.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.47 / $87.47 / $87.47	Professional		$87.47	$87.47	$87.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.89 / $164.35 / $370.22	Facility		$39.89	$164.35	$370.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.62 / $53.19 / $101.91	Professional		$52.62	$53.19	$101.91
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $138.09 / $246.59	Facility		$96.60	$138.09	$246.59
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $63.04 / $154.76 / $360.46	Professional		$63.04	$154.76	$360.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.55 / $62.81 / $62.81	Facility		$54.55	$62.81	$62.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.85 / $45.85 / $66.95	Professional		$45.85	$45.85	$66.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $60.48 / $128.29	Professional		$50.40	$60.48	$128.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.98 / $81.64 / $180.78	Professional		$69.98	$81.64	$180.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $188.63 / $553.99 / $553.99	Facility		$188.63	$553.99	$553.99
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $596.48 / $610.79 / $662.10	Professional		$596.48	$610.79	$662.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $283.67 / $283.67 / $283.67	Professional		$283.67	$283.67	$283.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.17 / $95.09 / $116.63	Facility		$28.17	$95.09	$116.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.85 / $62.81 / $91.30	Professional		$45.85	$62.81	$91.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $220.14 / $220.14 / $220.14	Professional		$220.14	$220.14	$220.14
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $85.68 / $93.30	Professional		$50.40	$85.68	$93.30
United Facility/Professional Professional Modifier Low / Median / High Price $39.61 / $43.64 / $108.21	Professional		$39.61	$43.64	$108.21