Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.70 / $33.70 / $176.90	Facility		$33.70	$33.70	$176.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.31 / $33.70 / $55.30	Professional		$29.31	$33.70	$55.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.89 / $37.89 / $37.89	Professional		$37.89	$37.89	$37.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.60 / $93.04 / $194.65	Facility		$25.60	$93.04	$194.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.65 / $33.04 / $58.44	Professional		$30.65	$33.04	$58.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.37 / $90.38 / $129.58	Facility		$64.37	$90.38	$129.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $33.14 / $100.00 / $189.49	Professional		$33.14	$100.00	$189.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.07 / $35.07 / $48.70	Facility		$35.07	$35.07	$48.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.60 / $25.60 / $37.39	Professional		$25.60	$25.60	$37.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $32.78 / $39.34 / $67.45	Professional		$32.78	$39.34	$67.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.79 / $42.92 / $93.21	Professional		$36.79	$42.92	$93.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $105.57 / $292.55 / $292.55	Facility		$105.57	$292.55	$292.55
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $316.33 / $316.33 / $459.90	Professional		$316.33	$316.33	$459.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $70.00 / $129.45	Professional		$70.00	$70.00	$129.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.07 / $53.69 / $63.15	Facility		$18.07	$53.69	$63.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.60 / $35.07 / $58.36	Professional		$25.60	$35.07	$58.36
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $115.72 / $115.72 / $115.72	Professional		$115.72	$115.72	$115.72
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $32.78 / $49.06 / $49.17	Professional		$32.78	$49.06	$49.17
United Facility/Professional Professional Modifier Low / Median / High Price $25.42 / $28.04 / $61.86	Professional		$25.42	$28.04	$61.86