Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.71 / $170.68 / $859.18	Facility		$48.71	$170.68	$859.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $91.00 / $330.55	Professional		$40.65	$91.00	$330.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.51 / $122.19 / $122.19	Professional		$65.51	$122.19	$122.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.08 / $45.12 / $58.54	Facility		$37.08	$45.12	$58.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $41.20 / $116.13	Professional		$40.65	$41.20	$116.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $75.50 / $96.33 / $186.00	Facility		$75.50	$96.33	$186.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $41.42 / $41.42 / $100.97	Professional		$41.42	$41.42	$100.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.35 / $38.35 / $40.65	Facility		$38.35	$38.35	$40.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $57.53	Professional		$40.65	$40.65	$57.53
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $41.61 / $48.27 / $57.92	Professional		$41.61	$48.27	$57.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.59 / $46.75 / $81.30	Professional		$36.59	$46.75	$81.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $163.92 / $192.85 / $192.85	Facility		$163.92	$192.85	$192.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,627.92 / $1,627.92 / $1,627.92	Professional		$1,627.92	$1,627.92	$1,627.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.61 / $60.00 / $85.30	Professional		$41.61	$60.00	$85.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.65 / $44.72 / $93.84	Facility		$40.65	$44.72	$93.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $57.53	Professional		$40.65	$40.65	$57.53
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $108.11 / $108.11 / $108.11	Professional		$108.11	$108.11	$108.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $32.52 / $48.27 / $72.41	Professional		$32.52	$48.27	$72.41
United Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $97.08	Professional		$40.65	$40.65	$97.08