Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $88.14 / $310.61	Facility		$7.24	$88.14	$310.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.10 / $33.67 / $53.03	Professional		$25.10	$33.67	$53.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $23.17 / $26.82	Professional		$19.30	$23.17	$26.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.32 / $93.15 / $312.00	Facility		$42.32	$93.15	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.07 / $30.43 / $89.89	Professional		$19.07	$30.43	$89.89
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.90 / $100.00 / $490.05	Facility		$58.90	$100.00	$490.05
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $23.94 / $34.20 / $100.00	Professional		$23.94	$34.20	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.76 / $50.70 / $129.27	Facility		$26.76	$50.70	$129.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.74 / $45.95 / $64.05	Professional		$25.74	$45.95	$64.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $34.33 / $38.61 / $61.79	Professional		$34.33	$38.61	$61.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $38.61 / $84.96	Professional		$30.90	$38.61	$84.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $141.36 / $183.99 / $183.99	Facility		$141.36	$183.99	$183.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.17 / $23.17 / $23.17	Professional		$23.17	$23.17	$23.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.96 / $45.11 / $108.50	Facility		$31.96	$45.11	$108.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.74 / $38.61 / $77.23	Professional		$25.74	$38.61	$77.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $135.55 / $135.55 / $135.55	Professional		$135.55	$135.55	$135.55
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $38.61 / $54.07	Professional		$30.90	$38.61	$54.07
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $23.17 / $74.19	Professional		$16.22	$23.17	$74.19