Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.42 / $84.00 / $247.50	Facility		$17.42	$84.00	$247.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $14.28 / $26.40	Professional		$9.69	$14.28	$26.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.29 / $7.29 / $10.11	Professional		$7.29	$7.29	$10.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.96 / $35.14 / $293.00	Facility		$15.96	$35.14	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $11.47 / $33.86	Professional		$7.19	$11.47	$33.86
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $37.74 / $84.90 / $187.13	Facility		$37.74	$84.90	$187.13
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $12.90 / $69.94	Professional		$9.02	$12.90	$69.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.07 / $19.13 / $48.77	Facility		$10.07	$19.13	$48.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $17.54 / $25.90	Professional		$9.55	$17.54	$25.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $12.61 / $14.57 / $23.31	Professional		$12.61	$14.57	$23.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.66 / $14.57 / $33.02	Professional		$11.66	$14.57	$33.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $59.16 / $75.23 / $75.23	Facility		$59.16	$75.23	$75.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $8.74 / $8.74	Professional		$8.74	$8.74	$8.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.08 / $17.48 / $43.98	Facility		$12.08	$17.48	$43.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.74 / $14.57 / $29.14	Professional		$9.74	$14.57	$29.14
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $51.14 / $51.14 / $51.14	Professional		$51.14	$51.14	$51.14
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $11.66 / $14.57 / $20.39	Professional		$11.66	$14.57	$20.39
United Facility/Professional Professional Modifier Low / Median / High Price $6.12 / $8.74 / $28.15	Professional		$6.12	$8.74	$28.15