Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.89 / $48.89 / $266.95	Facility		$48.89	$48.89	$266.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.53 / $48.89 / $266.95	Professional		$41.53	$48.89	$266.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.39 / $69.39 / $69.39	Professional		$69.39	$69.39	$69.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.13 / $134.94 / $293.69	Facility		$37.13	$134.94	$293.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.47 / $49.30 / $90.24	Professional		$46.47	$49.30	$90.24
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $95.09 / $109.52 / $195.58	Facility		$95.09	$109.52	$195.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $122.76 / $285.94	Professional		$50.00	$122.76	$285.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.27 / $61.62 / $61.62	Facility		$43.27	$61.62	$61.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.98 / $44.98 / $65.68	Professional		$44.98	$44.98	$65.68
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $38.06 / $45.67 / $101.77	Professional		$38.06	$45.67	$101.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.51 / $64.76 / $143.41	Professional		$55.51	$64.76	$143.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $193.44 / $439.47 / $439.47	Facility		$193.44	$439.47	$439.47
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $453.62 / $461.16 / $610.42	Professional		$453.62	$461.16	$610.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $275.19 / $275.19 / $275.19	Professional		$275.19	$275.19	$275.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.21 / $81.38 / $93.76	Facility		$26.21	$81.38	$93.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.98 / $61.62 / $81.38	Professional		$44.98	$61.62	$81.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $174.63 / $174.63 / $174.63	Professional		$174.63	$174.63	$174.63
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $38.06 / $64.70 / $74.02	Professional		$38.06	$64.70	$74.02
United Facility/Professional Professional Modifier Low / Median / High Price $36.86 / $40.61 / $87.81	Professional		$36.86	$40.61	$87.81