Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.36 / $10.36 / $82.47	Facility		$10.36	$10.36	$82.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.36 / $13.14 / $22.74	Professional		$10.36	$13.14	$22.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.91 / $21.91 / $21.91	Professional		$21.91	$21.91	$21.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.45 / $86.16 / $312.00	Facility		$44.45	$86.16	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.39 / $19.17 / $36.46	Professional		$6.39	$19.17	$36.46
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $52.60 / $95.10 / $319.39	Facility		$52.60	$95.10	$319.39
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15.55 / $22.22 / $66.94	Professional		$15.55	$22.22	$66.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.22 / $44.88 / $110.21	Facility		$22.22	$44.88	$110.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.24 / $49.04 / $1,658.02	Professional		$39.24	$49.04	$1,658.02
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $34.19 / $37.61 / $99.00	Professional		$34.19	$37.61	$99.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.35 / $34.19 / $59.83	Professional		$27.35	$34.19	$59.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $68.25 / $162.40 / $162.40	Facility		$68.25	$162.40	$162.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.83 / $48.13 / $100.95	Facility		$23.83	$48.13	$100.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.33 / $34.19 / $1,658.02	Professional		$26.33	$34.19	$1,658.02
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $34.19 / $34.19 / $34.19	Professional		$34.19	$34.19	$34.19
United Facility/Professional Facility Modifier Low / Median / High Price $11.13 / $17.10 / $23.49	Facility		$11.13	$17.10	$23.49
United Facility/Professional Professional Modifier Low / Median / High Price $14.36 / $14.73 / $51.42	Professional		$14.36	$14.73	$51.42