Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.01 / $141.18 / $248.01	Facility		$32.01	$141.18	$248.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.57 / $28.10 / $52.96	Professional		$20.57	$28.10	$52.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.29 / $19.29 / $23.14	Professional		$19.29	$19.29	$23.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.26 / $93.03 / $312.00	Facility		$42.26	$93.03	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.43 / $20.02 / $41.65	Professional		$15.43	$20.02	$41.65
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $53.40 / $97.00 / $350.22	Facility		$53.40	$97.00	$350.22
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $25.07 / $75.52	Professional		$17.55	$25.07	$75.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.07 / $49.91 / $124.35	Facility		$25.07	$49.91	$124.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.07 / $47.08 / $58.85	Professional		$25.07	$47.08	$58.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $30.86 / $38.57 / $61.71	Professional		$30.86	$38.57	$61.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.86 / $38.57 / $87.41	Professional		$30.86	$38.57	$87.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $61.71 / $183.21 / $183.21	Facility		$61.71	$183.21	$183.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.22 / $38.57 / $90.47	Facility		$26.22	$38.57	$90.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.74 / $38.57 / $57.45	Professional		$25.74	$38.57	$57.45
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $135.38 / $135.38 / $135.38	Professional		$135.38	$135.38	$135.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $30.86 / $34.56 / $43.20	Professional		$30.86	$34.56	$43.20
United Facility/Professional Facility Modifier Low / Median / High Price $9.40 / $17.36 / $26.50	Facility		$9.40	$17.36	$26.50
United Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $16.20 / $56.56	Professional		$16.20	$16.20	$56.56