Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.35 / $39.27 / $251.54	Facility		$10.35	$39.27	$251.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $39.27 / $195.00	Professional		$34.04	$39.27	$195.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.36 / $59.27 / $69.73	Professional		$37.36	$59.27	$69.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.82 / $122.85 / $276.74	Facility		$29.82	$122.85	$276.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $39.58 / $73.48	Professional		$38.54	$39.58	$73.48
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $89.60 / $103.21 / $184.30	Facility		$89.60	$103.21	$184.30
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $47.12 / $115.67 / $269.43	Professional		$47.12	$115.67	$269.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.33 / $46.70 / $69.00	Facility		$40.33	$46.70	$69.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.09 / $34.09 / $50.02	Professional		$34.09	$34.09	$50.02
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $35.97 / $43.18 / $95.90	Professional		$35.97	$43.18	$95.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.31 / $61.03 / $135.13	Professional		$52.31	$61.03	$135.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $132.75 / $352.17 / $414.11	Facility		$132.75	$352.17	$414.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $425.75 / $435.96 / $563.17	Professional		$425.75	$435.96	$563.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $146.88 / $146.88 / $146.88	Professional		$146.88	$146.88	$146.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.06 / $71.65 / $87.18	Facility		$21.06	$71.65	$87.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.09 / $46.70 / $69.00	Professional		$34.09	$46.70	$69.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $164.55 / $164.55 / $164.55	Professional		$164.55	$164.55	$164.55
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $35.97 / $61.17 / $69.73	Professional		$35.97	$61.17	$69.73
United Facility/Professional Facility Modifier Low / Median / High Price $74.09 / $87.18 / $87.18	Facility		$74.09	$87.18	$87.18
United Facility/Professional Professional Modifier Low / Median / High Price $30.16 / $32.67 / $90.88	Professional		$30.16	$32.67	$90.88