Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.14 / $68.68 / $14,067.56	Facility		$28.14	$68.68	$14,067.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $41.78 / $9,644.56	Professional		$27.86	$41.78	$9,644.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.85 / $51.26 / $51.26	Professional		$28.85	$51.26	$51.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.56 / $44.50 / $100.11	Facility		$29.56	$44.50	$100.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $28.85 / $82.82	Professional		$27.86	$28.85	$82.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $62.90 / $71.17 / $119.73	Facility		$62.90	$71.17	$119.73
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $28.39 / $30.24 / $84.08	Professional		$28.39	$30.24	$84.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.34 / $22.34 / $27.86	Facility		$22.34	$22.34	$27.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $27.86 / $33.51	Professional		$27.86	$27.86	$33.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $28.73 / $29.82 / $38.78	Professional		$28.73	$29.82	$38.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.07 / $33.43 / $63.14	Professional		$25.07	$33.43	$63.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $81.29 / $304.70 / $304.70	Facility		$81.29	$304.70	$304.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $126.83 / $126.83 / $126.83	Professional		$126.83	$126.83	$126.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.73 / $58.89 / $60.00	Professional		$28.73	$58.89	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.86 / $29.26 / $47.90	Facility		$27.86	$29.26	$47.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $27.86 / $38.04	Professional		$27.86	$27.86	$38.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $138.33 / $138.33 / $138.33	Professional		$138.33	$138.33	$138.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $22.29 / $27.86 / $41.79	Professional		$22.29	$27.86	$41.79
United Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $27.86 / $55.76	Professional		$27.86	$27.86	$55.76