Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.08 / $86.90 / $186.35	Facility		$21.08	$86.90	$186.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.40 / $16.37 / $61.62	Professional		$13.40	$16.37	$61.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.83 / $10.83 / $10.83	Professional		$10.83	$10.83	$10.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.78 / $43.54 / $293.00	Facility		$19.78	$43.54	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $14.22 / $46.30	Professional		$8.91	$14.22	$46.30
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $45.10 / $87.40 / $232.12	Facility		$45.10	$87.40	$232.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $15.98 / $62.40	Professional		$11.19	$15.98	$62.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.50 / $23.69 / $60.41	Facility		$12.50	$23.69	$60.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $21.89 / $31.92	Professional		$11.88	$21.89	$31.92
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $16.04 / $18.05 / $28.88	Professional		$16.04	$18.05	$28.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.44 / $18.05 / $40.26	Professional		$14.44	$18.05	$40.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $57.87 / $86.10 / $137.69	Facility		$57.87	$86.10	$137.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.83 / $10.83 / $10.83	Professional		$10.83	$10.83	$10.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.98 / $21.66 / $51.60	Facility		$14.98	$21.66	$51.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.06 / $18.05 / $36.10	Professional		$12.06	$18.05	$36.10
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $63.35 / $63.35 / $63.35	Professional		$63.35	$63.35	$63.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.44 / $18.05 / $25.27	Professional		$14.44	$18.05	$25.27
United Facility/Professional Professional Modifier Low / Median / High Price $7.58 / $10.74 / $36.08	Professional		$7.58	$10.74	$36.08