Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.19 / $51.19 / $291.86	Facility		$51.19	$51.19	$291.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.55 / $51.19 / $291.86	Professional		$41.55	$51.19	$291.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.87 / $75.87 / $75.87	Professional		$75.87	$75.87	$75.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.86 / $146.01 / $321.11	Facility		$38.86	$146.01	$321.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.74 / $51.83 / $105.69	Professional		$51.74	$51.83	$105.69
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $119.77 / $213.87	Facility		$95.50	$119.77	$213.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $54.67 / $134.22 / $312.64	Professional		$54.67	$134.22	$312.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.32 / $71.02 / $71.02	Facility		$47.32	$71.02	$71.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.84 / $51.84 / $73.15	Professional		$51.84	$51.84	$73.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $41.96 / $50.35 / $111.28	Professional		$41.96	$50.35	$111.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.70 / $70.81 / $156.80	Professional		$60.70	$70.81	$156.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $230.69 / $480.51 / $480.51	Facility		$230.69	$480.51	$480.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $499.37 / $511.38 / $639.23	Professional		$499.37	$511.38	$639.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $276.87 / $276.87 / $276.87	Professional		$276.87	$276.87	$276.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.45 / $87.88 / $102.53	Facility		$27.45	$87.88	$102.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.84 / $71.02 / $85.99	Professional		$51.84	$71.02	$85.99
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $190.92 / $190.92 / $190.92	Professional		$190.92	$190.92	$190.92
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $41.96 / $71.33 / $80.93	Professional		$41.96	$71.33	$80.93
United Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $42.52 / $96.00	Professional		$39.31	$42.52	$96.00