Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.04 / $48.04 / $307.75	Facility		$48.04	$48.04	$307.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.07 / $48.04 / $307.75	Professional		$38.07	$48.04	$307.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.99 / $59.99 / $59.99	Professional		$59.99	$59.99	$59.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.47 / $150.31 / $338.57	Facility		$36.47	$150.31	$338.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $52.34 / $74.39	Professional		$39.00	$52.34	$74.39
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $126.26 / $225.47	Facility		$95.50	$126.26	$225.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $57.65 / $141.52 / $329.64	Professional		$57.65	$141.52	$329.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.89 / $51.74 / $57.02	Facility		$49.89	$51.74	$57.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.77 / $37.77 / $92.63	Professional		$37.77	$37.77	$92.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $57.02 / $68.42 / $117.33	Professional		$57.02	$68.42	$117.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.00 / $74.66 / $165.32	Professional		$64.00	$74.66	$165.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $194.63 / $426.39 / $506.64	Facility		$194.63	$426.39	$506.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $743.72 / $761.58 / $761.58	Professional		$743.72	$761.58	$761.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $189.09 / $189.09 / $189.09	Professional		$189.09	$189.09	$189.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.76 / $92.17 / $108.20	Facility		$25.76	$92.17	$108.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.77 / $37.77 / $101.52	Professional		$37.77	$37.77	$101.52
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $201.32 / $201.32 / $201.32	Professional		$201.32	$201.32	$201.32
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $57.02 / $85.33 / $85.53	Professional		$57.02	$85.33	$85.53
United Facility/Professional Professional Modifier Low / Median / High Price $37.97 / $48.09 / $106.66	Professional		$37.97	$48.09	$106.66