Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $51.29 / $85.11	Facility		$10.00	$51.29	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $25.12 / $33.11	Professional		$10.00	$25.12	$33.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $21.88	Professional		$20.89	$20.89	$21.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $85.11 / $173.78	Facility		$44.67	$85.11	$173.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $19.05 / $44.67	Professional		$6.46	$19.05	$44.67
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $95.50 / $338.84	Facility		$52.48	$95.50	$338.84
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $26.30 / $83.18	Professional		$17.38	$26.30	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $51.29 / $114.82	Facility		$22.91	$51.29	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $41.69 / $2,137.96	Professional		$25.70	$41.69	$2,137.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $38.02 / $100.00	Professional		$33.88	$38.02	$100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $33.88 / $60.26	Professional		$27.54	$33.88	$60.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $35.48 / $87.10	Facility		$12.59	$35.48	$87.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.88 / $2,691.53	Professional		$23.99	$33.88	$2,691.53
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
United Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $18.62 / $33.88	Facility		$14.45	$18.62	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $15.85 / $60.26	Professional		$14.45	$15.85	$60.26