Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.11 / $52.90 / $186.75	Facility		$34.11	$52.90	$186.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.22 / $44.62 / $102.64	Professional		$28.22	$44.62	$102.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.57 / $30.46 / $30.46	Professional		$29.57	$30.46	$30.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,464.00 / $8,976.00	Facility		$1,723.00	$4,464.00	$8,976.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $46.41 / $97.02	Professional		$29.00	$46.41	$97.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $1,581.82	Facility		$64.40	$100.00	$1,581.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $35.63 / $54.73 / $100.00	Professional		$35.63	$54.73	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $56.00 / $56.00	Facility		$56.00	$56.00	$56.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $42.74 / $79.20	Professional		$22.54	$42.74	$79.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $20.58 / $28.29 / $43.51	Professional		$20.58	$28.29	$43.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.61 / $30.87 / $54.58	Professional		$18.61	$30.87	$54.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $91.30 / $95.19	Facility		$55.00	$91.30	$95.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $154.72 / $270.66 / $326.25	Professional		$154.72	$270.66	$326.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.94 / $35.47 / $64.84	Facility		$21.94	$35.47	$64.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.53 / $44.62 / $77.63	Professional		$23.53	$44.62	$77.63
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $63.69 / $63.69 / $99.76	Professional		$63.69	$63.69	$99.76
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $18.70 / $31.65 / $50.93	Professional		$18.70	$31.65	$50.93
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,551.00 / $6,323.00	Facility		$587.00	$1,551.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $23.24 / $42.63 / $79.90	Professional		$23.24	$42.63	$79.90