Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.49 / $57.49 / $368.27	Facility		$57.49	$57.49	$368.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.91 / $57.49 / $91.83	Professional		$48.91	$57.49	$91.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.44 / $64.14 / $85.52	Professional		$57.44	$64.14	$85.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.66 / $179.87 / $405.17	Facility		$43.66	$179.87	$405.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.19 / $57.96 / $91.90	Professional		$48.19	$57.96	$91.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $151.10 / $269.83	Facility		$97.00	$151.10	$269.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $68.98 / $169.36 / $394.48	Professional		$68.98	$169.36	$394.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.69 / $62.81 / $68.22	Facility		$56.69	$62.81	$68.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.85 / $45.85 / $66.95	Professional		$45.85	$45.85	$66.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $59.71 / $71.65 / $140.40	Professional		$59.71	$71.65	$140.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.58 / $89.35 / $197.84	Professional		$76.58	$89.35	$197.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $200.60 / $501.46 / $606.29	Facility		$200.60	$501.46	$606.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $706.59 / $723.56 / $806.63	Professional		$706.59	$723.56	$806.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $226.21 / $226.21 / $226.21	Professional		$226.21	$226.21	$226.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.83 / $108.49 / $129.36	Facility		$30.83	$108.49	$129.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.85 / $62.81 / $112.95	Professional		$45.85	$62.81	$112.95
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $240.91 / $240.91 / $240.91	Professional		$240.91	$240.91	$240.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $59.71 / $101.51 / $102.11	Professional		$59.71	$101.51	$102.11
United Facility/Professional Professional Modifier Low / Median / High Price $44.15 / $48.60 / $127.64	Professional		$44.15	$48.60	$127.64