Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.90 / $32.90 / $172.67	Facility		$32.90	$32.90	$172.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.15 / $32.90 / $172.67	Professional		$26.15	$32.90	$172.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.84 / $59.84 / $59.84	Professional		$59.84	$59.84	$59.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.98 / $90.79 / $189.95	Facility		$24.98	$90.79	$189.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.90 / $32.36 / $57.00	Professional		$29.90	$32.36	$57.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $62.86 / $88.27 / $126.56	Facility		$62.86	$88.27	$126.56
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $100.00 / $184.96	Professional		$32.34	$100.00	$184.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.72 / $36.72 / $47.55	Facility		$36.72	$36.72	$47.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.81 / $26.81 / $39.15	Professional		$26.81	$26.81	$39.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $31.99 / $38.39 / $65.81	Professional		$31.99	$38.39	$65.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.90 / $41.89 / $90.96	Professional		$35.90	$41.89	$90.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $102.97 / $285.48 / $285.48	Facility		$102.97	$285.48	$285.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $308.61 / $308.61 / $448.80	Professional		$308.61	$308.61	$448.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $185.03 / $185.03 / $185.03	Professional		$185.03	$185.03	$185.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $52.92 / $61.61	Facility		$17.64	$52.92	$61.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.81 / $36.72 / $56.96	Professional		$26.81	$36.72	$56.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $112.95 / $112.95 / $112.95	Professional		$112.95	$112.95	$112.95
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $31.99 / $47.87 / $47.99	Professional		$31.99	$47.87	$47.99
United Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $27.32 / $56.80	Professional		$25.27	$27.32	$56.80