Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.62 / $52.62 / $276.18	Facility		$52.62	$52.62	$276.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.82 / $52.62 / $276.18	Professional		$41.82	$52.62	$276.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.09 / $65.09 / $65.09	Professional		$65.09	$65.09	$65.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.96 / $145.22 / $303.83	Facility		$39.96	$145.22	$303.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.84 / $52.55 / $91.22	Professional		$47.84	$52.55	$91.22
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $113.33 / $202.37	Facility		$92.60	$113.33	$202.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $51.73 / $127.01 / $295.83	Professional		$51.73	$127.01	$295.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.58 / $66.58 / $76.04	Facility		$66.58	$66.58	$76.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.60 / $48.60 / $70.98	Professional		$48.60	$48.60	$70.98
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $41.17 / $49.40 / $105.29	Professional		$41.17	$49.40	$105.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.17 / $67.00 / $145.49	Professional		$41.17	$67.00	$145.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $164.79 / $456.72 / $456.72	Facility		$164.79	$456.72	$456.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $493.67 / $493.67 / $717.90	Professional		$493.67	$493.67	$717.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $202.10 / $202.10 / $202.10	Professional		$202.10	$202.10	$202.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.22 / $84.63 / $98.59	Facility		$28.22	$84.63	$98.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.60 / $66.58 / $91.11	Professional		$48.60	$66.58	$91.11
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $180.66 / $180.66 / $180.66	Professional		$180.66	$180.66	$180.66
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $41.17 / $69.98 / $76.58	Professional		$41.17	$69.98	$76.58
United Facility/Professional Professional Modifier Low / Median / High Price $39.68 / $43.71 / $95.72	Professional		$39.68	$43.71	$95.72