Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.32 / $84.29 / $2,008.00	Facility		$26.32	$84.29	$2,008.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $26.32 / $163.16	Professional		$19.50	$26.32	$163.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.33 / $38.34 / $40.90	Professional		$38.33	$38.34	$40.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.69 / $89.57 / $185.47	Facility		$24.69	$89.57	$185.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.93 / $32.40 / $47.53	Professional		$24.93	$32.40	$47.53
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.36 / $86.16 / $123.53	Facility		$61.36	$86.16	$123.53
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $100.00 / $180.58	Professional		$31.58	$100.00	$180.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.33 / $35.00 / $43.02	Facility		$27.33	$35.00	$43.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.55 / $25.55 / $37.31	Professional		$25.55	$25.55	$37.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $30.71 / $36.85 / $64.27	Professional		$30.71	$36.85	$64.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.06 / $58.43 / $90.57	Professional		$35.06	$58.43	$90.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $99.62 / $230.54 / $277.54	Facility		$99.62	$230.54	$277.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $314.95 / $322.52 / $331.65	Professional		$314.95	$322.52	$331.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $92.29 / $92.29 / $92.29	Professional		$92.29	$92.29	$92.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.11 / $46.85 / $59.22	Facility		$14.11	$46.85	$59.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.55 / $35.00 / $48.37	Professional		$25.55	$35.00	$48.37
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $110.27 / $110.27 / $110.27	Professional		$110.27	$110.27	$110.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $30.71 / $46.74 / $46.74	Professional		$30.71	$46.74	$46.74
United Facility/Professional Professional Modifier Low / Median / High Price $20.80 / $26.33 / $52.06	Professional		$20.80	$26.33	$52.06