Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.89 / $110.73 / $263.08	Facility		$26.89	$110.73	$263.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.84 / $22.81 / $138.24	Professional		$18.84	$22.81	$138.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.29 / $15.29 / $15.29	Professional		$15.29	$15.29	$15.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.92 / $61.46 / $293.00	Facility		$27.92	$61.46	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $20.07 / $59.30	Professional		$12.58	$20.07	$59.30
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $92.60 / $324.32	Facility		$53.00	$92.60	$324.32
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15.79 / $22.56 / $73.08	Professional		$15.79	$22.56	$73.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $33.45 / $85.28	Facility		$17.64	$33.45	$85.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $30.93 / $45.18	Professional		$16.55	$30.93	$45.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $19.72 / $25.48 / $40.77	Professional		$19.72	$25.48	$40.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.38 / $25.48 / $56.06	Professional		$20.38	$25.48	$56.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.32 / $121.47 / $121.47	Facility		$54.32	$121.47	$121.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.29 / $15.29 / $15.29	Professional		$15.29	$15.29	$15.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.09 / $29.48 / $67.50	Facility		$21.09	$29.48	$67.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $23.44 / $50.96	Professional		$16.93	$23.44	$50.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $89.43 / $89.43 / $89.43	Professional		$89.43	$89.43	$89.43
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $20.38 / $25.48 / $35.67	Professional		$20.38	$25.48	$35.67
United Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $15.29 / $44.50	Professional		$10.70	$15.29	$44.50