Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.02 / $54.02 / $297.31	Facility		$54.02	$54.02	$297.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.82 / $60.00 / $220.00	Professional		$46.82	$60.00	$220.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.96 / $63.01 / $82.44	Professional		$53.96	$63.01	$82.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.02 / $149.09 / $327.11	Facility		$41.02	$149.09	$327.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.87 / $54.74 / $83.63	Professional		$43.87	$54.74	$83.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $122.01 / $217.88	Facility		$95.50	$122.01	$217.88
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $55.69 / $136.72 / $318.47	Professional		$55.69	$136.72	$318.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.20 / $58.00 / $58.00	Facility		$48.20	$58.00	$58.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.34 / $42.34 / $61.83	Professional		$42.34	$42.34	$61.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $82.44 / $103.05 / $123.66	Professional		$82.44	$103.05	$123.66
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $61.83 / $61.83 / $61.83	Professional		$61.83	$61.83	$61.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.83 / $72.14 / $162.82	Professional		$61.83	$72.14	$162.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $176.54 / $489.49 / $489.49	Facility		$176.54	$489.49	$489.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $593.54 / $593.54 / $882.68	Professional		$593.54	$593.54	$882.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $360.08 / $360.08 / $360.08	Professional		$360.08	$360.08	$360.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.97 / $90.32 / $108.20	Facility		$28.97	$90.32	$108.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.34 / $58.00 / $100.62	Professional		$42.34	$58.00	$100.62
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $194.49 / $194.49 / $194.49	Professional		$194.49	$194.49	$194.49
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $44.87 / $103.96	Professional		$40.74	$44.87	$103.96