Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.60 / $66.19 / $276.66	Facility		$57.60	$66.19	$276.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.44 / $57.60 / $209.74	Professional		$54.44	$57.60	$209.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $350.00	Professional		$57.54	$57.54	$350.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.74 / $147.01 / $304.42	Facility		$43.74	$147.01	$304.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.46 / $58.04 / $98.51	Professional		$24.46	$58.04	$98.51
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $113.53 / $202.73	Facility		$95.50	$113.53	$202.73
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $51.82 / $127.23 / $296.36	Professional		$51.82	$127.23	$296.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.47 / $59.92 / $59.92	Facility		$19.47	$59.92	$59.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.74 / $43.74 / $73.63	Professional		$43.74	$43.74	$73.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $22.26 / $26.71 / $105.49	Professional		$22.26	$26.71	$105.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $67.13 / $148.65	Professional		$57.54	$67.13	$148.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $153.43 / $474.60 / $474.60	Facility		$153.43	$474.60	$474.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $521.73 / $521.73 / $719.25	Professional		$521.73	$521.73	$719.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $196.59 / $196.59 / $196.59	Professional		$196.59	$196.59	$196.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.89 / $84.78 / $97.20	Facility		$30.89	$84.78	$97.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.74 / $59.92 / $95.90	Professional		$43.74	$59.92	$95.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $180.98 / $180.98 / $180.98	Professional		$180.98	$180.98	$180.98
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $22.26 / $37.84 / $76.72	Professional		$22.26	$37.84	$76.72
United Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $47.84 / $95.89	Professional		$39.86	$47.84	$95.89