Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.06 / $68.06 / $357.13	Facility		$68.06	$68.06	$357.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.44 / $68.06 / $357.13	Professional		$54.44	$68.06	$357.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.44 / $70.44 / $94.65	Professional		$70.44	$70.44	$94.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $197.71 / $274.07 / $520.04	Facility		$197.71	$274.07	$520.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.53 / $204.90 / $332.50	Professional		$63.53	$204.90	$332.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $146.55 / $261.69	Facility		$96.60	$146.55	$261.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $66.90 / $164.24 / $382.57	Professional		$66.90	$164.24	$382.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.23 / $100.70 / $100.70	Facility		$65.23	$100.70	$100.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.60 / $85.60 / $147.00	Professional		$85.60	$85.60	$147.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $66.16 / $79.39 / $136.16	Professional		$66.16	$79.39	$136.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.27 / $86.65 / $269.83	Professional		$74.27	$86.65	$269.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $257.39 / $587.96 / $587.96	Facility		$257.39	$587.96	$587.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $639.58 / $639.58 / $928.35	Professional		$639.58	$639.58	$928.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $261.37 / $261.37 / $261.37	Professional		$261.37	$261.37	$261.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.50 / $109.43 / $127.50	Facility		$36.50	$109.43	$127.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.60 / $85.60 / $121.36	Professional		$85.60	$85.60	$121.36
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $233.62 / $233.62 / $233.62	Professional		$233.62	$233.62	$233.62
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $66.16 / $99.02 / $99.24	Professional		$66.16	$99.02	$99.24
United Facility/Professional Professional Modifier Low / Median / High Price $53.80 / $59.83 / $113.32	Professional		$53.80	$59.83	$113.32