Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.01 / $88.73 / $199.08	Facility		$17.01	$88.73	$199.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $14.83 / $87.44	Professional		$11.97	$14.83	$87.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.68 / $9.68 / $9.68	Professional		$9.68	$9.68	$9.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.67 / $38.90 / $293.00	Facility		$17.67	$38.90	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.96 / $12.70 / $37.52	Professional		$7.96	$12.70	$37.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $41.78 / $86.00 / $207.18	Facility		$41.78	$86.00	$207.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $9.99 / $14.27 / $55.70	Professional		$9.99	$14.27	$55.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.15 / $21.17 / $53.97	Facility		$11.15	$21.17	$53.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $19.45 / $28.91	Professional		$10.61	$19.45	$28.91
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $14.33 / $16.13 / $25.81	Professional		$14.33	$16.13	$25.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.90 / $16.13 / $35.15	Professional		$12.90	$16.13	$35.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $61.49 / $115.61 / $115.61	Facility		$61.49	$115.61	$115.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.68 / $9.68 / $9.68	Professional		$9.68	$9.68	$9.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.37 / $19.36 / $48.53	Facility		$13.37	$19.36	$48.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.67 / $16.13 / $32.26	Professional		$10.67	$16.13	$32.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $56.61 / $56.61 / $56.61	Professional		$56.61	$56.61	$56.61
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $12.90 / $16.13 / $22.58	Professional		$12.90	$16.13	$22.58
United Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $9.68 / $31.17	Professional		$6.77	$9.68	$31.17