Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.14 / $30.14 / $193.11	Facility		$30.14	$30.14	$193.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.67 / $30.14 / $193.11	Professional		$24.67	$30.14	$193.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.21 / $46.85 / $53.54	Professional		$42.21	$46.85	$53.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.89 / $94.30 / $212.42	Facility		$22.89	$94.30	$212.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.45 / $37.61 / $52.33	Professional		$27.45	$37.61	$52.33
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $70.28 / $97.00 / $141.49	Facility		$70.28	$97.00	$141.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $36.17 / $100.00 / $206.85	Professional		$36.17	$100.00	$206.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.30 / $34.77 / $35.78	Facility		$31.30	$34.77	$35.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.38 / $25.38 / $65.25	Professional		$25.38	$25.38	$65.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $25.68 / $30.82 / $73.61	Professional		$25.68	$30.82	$73.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.15 / $46.84 / $103.73	Professional		$40.15	$46.84	$103.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $114.23 / $268.63 / $317.87	Facility		$114.23	$268.63	$317.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $398.48 / $408.06 / $487.05	Professional		$398.48	$408.06	$487.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.67 / $108.67 / $108.67	Professional		$108.67	$108.67	$108.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.17 / $54.86 / $68.19	Facility		$16.17	$54.86	$68.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.38 / $25.38 / $56.88	Professional		$25.38	$25.38	$56.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $126.32 / $126.32 / $126.32	Professional		$126.32	$126.32	$126.32
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $25.68 / $43.66 / $53.54	Professional		$25.68	$43.66	$53.54
United Facility/Professional Professional Modifier Low / Median / High Price $23.83 / $28.07 / $67.53	Professional		$23.83	$28.07	$67.53