Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.77 / $53.09 / $4,449.30	Facility		$25.77	$53.09	$4,449.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.76 / $26.02 / $3,320.72	Professional		$25.76	$26.02	$3,320.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.93 / $57.34 / $57.34	Professional		$23.93	$57.34	$57.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.26 / $41.16 / $92.60	Facility		$25.26	$41.16	$92.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.93 / $25.77 / $66.22	Professional		$23.93	$25.77	$66.22
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.36 / $62.57 / $100.00	Facility		$60.36	$62.57	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $26.25 / $27.86 / $75.48	Professional		$26.25	$27.86	$75.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.23 / $20.23 / $25.77	Facility		$20.23	$20.23	$25.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $25.77 / $30.36	Professional		$25.77	$25.77	$30.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $26.94 / $32.33	Professional		$23.00	$26.94	$32.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.19 / $30.92 / $65.70	Professional		$23.19	$30.92	$65.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $311.20 / $311.20	Facility		$75.00	$311.20	$311.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $101.56 / $101.56 / $101.68	Professional		$101.56	$101.56	$101.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $47.15 / $60.00	Professional		$23.00	$47.15	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.77 / $27.31 / $44.56	Facility		$25.77	$27.31	$44.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $25.77 / $32.20	Professional		$25.77	$25.77	$32.20
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $141.27 / $141.27 / $141.27	Professional		$141.27	$141.27	$141.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $20.61 / $25.77 / $38.65	Professional		$20.61	$25.77	$38.65
United Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $27.32 / $56.38	Professional		$25.77	$27.32	$56.38