Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.70 / $93.68 / $8,505.16	Facility		$40.70	$93.68	$8,505.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $115.93 / $7,650.00	Professional		$40.29	$115.93	$7,650.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.82 / $53.51 / $211.50	Professional		$46.82	$53.51	$211.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.85 / $64.36 / $157.87	Facility		$42.85	$64.36	$157.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $44.59 / $119.67	Professional		$40.29	$44.59	$119.67
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.00 / $75.00 / $152.12	Facility		$63.00	$75.00	$152.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $42.76 / $114.56	Professional		$40.29	$42.76	$114.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.63 / $34.63 / $40.29	Facility		$34.63	$34.63	$40.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $40.29 / $51.95	Professional		$40.29	$40.29	$51.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $46.82 / $51.84 / $69.98	Professional		$46.82	$51.84	$69.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.26 / $48.35 / $91.31	Professional		$36.26	$48.35	$91.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $105.64 / $382.05 / $382.05	Facility		$105.64	$382.05	$382.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $228.90 / $229.91 / $233.37	Professional		$228.90	$229.91	$233.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.27 / $106.27 / $106.27	Professional		$106.27	$106.27	$106.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.29 / $42.71 / $70.41	Facility		$40.29	$42.71	$70.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $40.29 / $67.70	Professional		$40.29	$40.29	$67.70
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $173.44 / $173.44 / $173.44	Professional		$173.44	$173.44	$173.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $32.24 / $40.29 / $60.44	Professional		$32.24	$40.29	$60.44
United Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $40.29 / $80.64	Professional		$40.29	$40.29	$80.64