Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $58.88 / $165.96	Facility		$37.15	$58.88	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $27.54 / $173.78	Professional		$26.92	$27.54	$173.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $31.62 / $83.18	Facility		$19.95	$31.62	$83.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $24.55 / $102.33	Professional		$19.05	$24.55	$102.33
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $89.13 / $100.00	Facility		$61.66	$89.13	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $33.11 / $85.11	Professional		$27.54	$33.11	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $27.54	Facility		$21.88	$21.88	$27.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $28.18	Professional		$27.54	$27.54	$28.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $25.70	Professional		$19.05	$19.05	$25.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $30.20 / $58.88	Professional		$24.55	$30.20	$58.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $144.54 / $144.54	Professional		$123.03	$144.54	$144.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $28.18 / $70.79	Facility		$27.54	$28.18	$70.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $37.15	Professional		$29.51	$29.51	$37.15
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.11 / $50.12	Professional		$23.99	$33.11	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Facility		$27.54	$27.54	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $38.90	Professional		$27.54	$27.54	$38.90