Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.66 / $21.66 / $121.21	Facility		$21.66	$21.66	$121.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.19 / $21.66 / $33.02	Professional		$20.19	$21.66	$33.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.34 / $28.15 / $31.49	Professional		$26.34	$28.15	$31.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.82 / $61.17 / $133.35	Facility		$16.82	$61.17	$133.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.97 / $22.33 / $41.87	Professional		$21.97	$22.33	$41.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $43.17 / $60.80 / $90.47	Facility		$43.17	$60.80	$90.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $22.70 / $75.80 / $129.84	Professional		$22.70	$75.80	$129.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.63 / $29.97 / $29.97	Facility		$19.63	$29.97	$29.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $52.13	Professional		$21.88	$21.88	$52.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $18.48 / $22.18 / $46.21	Professional		$18.48	$22.18	$46.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.21 / $29.41 / $65.12	Professional		$25.21	$29.41	$65.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $199.55 / $199.55	Facility		$85.00	$199.55	$199.55
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $232.65 / $232.65 / $360.45	Professional		$232.65	$232.65	$360.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $96.35 / $96.35 / $96.35	Professional		$96.35	$96.35	$96.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.61 / $36.14 / $44.11	Facility		$11.61	$36.14	$44.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $39.99	Professional		$21.88	$21.88	$39.99
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $79.29 / $79.29 / $79.29	Professional		$79.29	$79.29	$79.29
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $18.48 / $31.42 / $33.61	Professional		$18.48	$31.42	$33.61
United Facility/Professional Professional Modifier Low / Median / High Price $16.63 / $17.98 / $39.86	Professional		$16.63	$17.98	$39.86