Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.47 / $86.14 / $379.17	Facility		$46.47	$86.14	$379.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.59 / $59.19 / $267.00	Professional		$43.59	$59.19	$267.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.63 / $60.35 / $69.22	Professional		$52.63	$60.35	$69.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.95 / $98.27 / $231.23	Facility		$44.95	$98.27	$231.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.88 / $59.85 / $71.83	Professional		$48.88	$59.85	$71.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $155.57 / $277.80	Facility		$96.60	$155.57	$277.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $71.03 / $142.05 / $332.18	Professional		$71.03	$142.05	$332.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.79 / $67.14 / $76.52	Facility		$60.79	$67.14	$76.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.01 / $49.01 / $76.52	Professional		$49.01	$49.01	$76.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $55.37 / $70.23 / $84.29	Professional		$55.37	$70.23	$84.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.06 / $72.31 / $163.22	Professional		$43.06	$72.31	$163.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $160.60 / $340.47 / $340.47	Facility		$160.60	$340.47	$340.47
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $612.72 / $628.42 / $628.42	Professional		$612.72	$628.42	$628.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $183.68 / $183.68 / $183.68	Professional		$183.68	$183.68	$183.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.74 / $61.52 / $105.36	Facility		$31.74	$61.52	$105.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.01 / $63.44 / $74.77	Professional		$49.01	$63.44	$74.77
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $248.04 / $248.04 / $248.04	Professional		$248.04	$248.04	$248.04
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $49.22 / $70.23 / $91.31	Professional		$49.22	$70.23	$91.31
United Facility/Professional Professional Modifier Low / Median / High Price $41.67 / $49.17 / $115.71	Professional		$41.67	$49.17	$115.71