Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.30 / $55.16 / $174.32	Facility		$21.30	$55.16	$174.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.36 / $20.32 / $67.20	Professional		$14.36	$20.32	$67.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.27 / $16.27 / $16.94	Professional		$16.27	$16.27	$16.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.70 / $65.39 / $293.00	Facility		$29.70	$65.39	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $14.06 / $29.27	Professional		$10.84	$14.06	$29.27
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $48.20 / $87.57 / $249.41	Facility		$48.20	$87.57	$249.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $17.62 / $53.08	Professional		$12.33	$17.62	$53.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.62 / $35.59 / $90.74	Facility		$17.62	$35.59	$90.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.09 / $33.04 / $41.30	Professional		$18.09	$33.04	$41.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $21.69 / $27.11 / $43.38	Professional		$21.69	$27.11	$43.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.69 / $27.11 / $59.10	Professional		$21.69	$27.11	$59.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $170.77 / $170.77 / $170.77	Facility		$170.77	$170.77	$170.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.42 / $27.11 / $64.88	Facility		$18.42	$27.11	$64.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.39 / $27.11 / $40.54	Professional		$19.39	$27.11	$40.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $95.15 / $95.15 / $95.15	Professional		$95.15	$95.15	$95.15
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $21.69 / $24.29 / $30.37	Professional		$21.69	$24.29	$30.37
United Facility/Professional Professional Modifier Low / Median / High Price $11.39 / $11.39 / $45.72	Professional		$11.39	$11.39	$45.72