Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.34 / $36.34 / $232.77	Facility		$36.34	$36.34	$232.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.08 / $36.34 / $141.97	Professional		$28.08	$36.34	$141.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.50 / $64.54 / $68.56	Professional		$60.50	$64.54	$68.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.59 / $113.68 / $256.07	Facility		$27.59	$113.68	$256.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $36.36 / $69.06	Professional		$36.22	$36.36	$69.06
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $84.72 / $100.00 / $170.56	Facility		$84.72	$100.00	$170.56
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $43.60 / $107.03 / $249.32	Professional		$43.60	$107.03	$249.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.71 / $48.99 / $48.99	Facility		$37.71	$48.99	$48.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.76 / $35.76 / $52.23	Professional		$35.76	$35.76	$52.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $43.12 / $51.74 / $88.74	Professional		$43.12	$51.74	$88.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.40 / $56.47 / $125.04	Professional		$48.40	$56.47	$125.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $150.77 / $330.88 / $383.18	Facility		$150.77	$330.88	$383.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $527.66 / $540.32 / $540.32	Professional		$527.66	$540.32	$540.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $181.67 / $181.67 / $181.67	Professional		$181.67	$181.67	$181.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $68.56 / $81.76	Facility		$19.48	$68.56	$81.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.76 / $48.99 / $76.78	Professional		$35.76	$48.99	$76.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $152.27 / $152.27 / $152.27	Professional		$152.27	$152.27	$152.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $43.12 / $64.54 / $64.68	Professional		$43.12	$64.54	$64.68
United Facility/Professional Professional Modifier Low / Median / High Price $27.91 / $30.19 / $73.31	Professional		$27.91	$30.19	$73.31