Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.36 / $56.36 / $295.77	Facility		$56.36	$56.36	$295.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.79 / $56.36 / $295.77	Professional		$44.79	$56.36	$295.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.89 / $76.89 / $76.89	Professional		$76.89	$76.89	$76.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.80 / $155.56 / $325.43	Facility		$42.80	$155.56	$325.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.25 / $56.66 / $97.69	Professional		$51.25	$56.66	$97.69
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $121.38 / $216.75	Facility		$95.50	$121.38	$216.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $55.41 / $136.03 / $316.83	Professional		$55.41	$136.03	$316.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.42 / $67.95 / $67.95	Facility		$47.42	$67.95	$67.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.61 / $49.61 / $72.45	Professional		$49.61	$49.61	$72.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $37.82 / $45.38 / $112.77	Professional		$37.82	$45.38	$112.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.51 / $71.76 / $158.91	Professional		$61.51	$71.76	$158.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $176.47 / $489.15 / $489.15	Facility		$176.47	$489.15	$489.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $528.83 / $528.83 / $768.90	Professional		$528.83	$528.83	$768.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $317.15 / $317.15 / $317.15	Professional		$317.15	$317.15	$317.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.22 / $89.05 / $105.62	Facility		$30.22	$89.05	$105.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.61 / $67.95 / $97.58	Professional		$49.61	$67.95	$97.58
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $193.49 / $193.49 / $193.49	Professional		$193.49	$193.49	$193.49
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $37.82 / $64.29 / $82.02	Professional		$37.82	$64.29	$82.02
United Facility/Professional Professional Modifier Low / Median / High Price $42.51 / $46.81 / $99.19	Professional		$42.51	$46.81	$99.19