Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.19 / $79.15 / $253.42	Facility		$15.19	$79.15	$253.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.73 / $26.49 / $35.02	Professional		$21.73	$26.49	$35.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.57 / $17.57 / $20.32	Professional		$17.57	$17.57	$20.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.08 / $70.62 / $311.83	Facility		$32.08	$70.62	$311.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $23.06 / $68.09	Professional		$14.46	$23.06	$68.09
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $94.11 / $372.60	Facility		$55.00	$94.11	$372.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $25.92 / $83.99	Professional		$18.14	$25.92	$83.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.25 / $38.44 / $98.00	Facility		$20.25	$38.44	$98.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.10 / $35.40 / $51.80	Professional		$19.10	$35.40	$51.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $26.02 / $29.28 / $46.85	Professional		$26.02	$29.28	$46.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.42 / $29.28 / $66.34	Professional		$23.42	$29.28	$66.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $99.02 / $140.34 / $140.34	Facility		$99.02	$140.34	$140.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.56 / $17.56 / $17.56	Professional		$17.56	$17.56	$17.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.23 / $33.86 / $74.22	Facility		$24.23	$33.86	$74.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $29.28 / $58.56	Professional		$19.48	$29.28	$58.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $102.77 / $102.77 / $102.77	Professional		$102.77	$102.77	$102.77
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $23.42 / $29.28 / $40.99	Professional		$23.42	$29.28	$40.99
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $17.41 / $60.32	Professional		$12.30	$17.41	$60.32