Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.53 / $43.63 / $163.16	Facility		$10.53	$43.63	$163.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.03 / $17.07 / $33.90	Professional		$14.03	$17.07	$33.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.49 / $11.38 / $11.38	Professional		$9.49	$11.38	$11.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.79 / $45.76 / $293.00	Facility		$20.79	$45.76	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $14.94 / $44.15	Professional		$9.36	$14.94	$44.15
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $45.10 / $87.40 / $243.89	Facility		$45.10	$87.40	$243.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $11.76 / $16.80 / $65.59	Professional		$11.76	$16.80	$65.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.13 / $24.91 / $63.50	Facility		$13.13	$24.91	$63.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.52 / $22.40 / $31.61	Professional		$12.52	$22.40	$31.61
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $18.97 / $30.35	Professional		$16.86	$18.97	$30.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.18 / $18.97 / $42.99	Professional		$15.18	$18.97	$42.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $79.00 / $90.81 / $100.00	Facility		$79.00	$90.81	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.38 / $11.38 / $11.38	Professional		$11.38	$11.38	$11.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.70 / $22.70 / $57.46	Facility		$15.70	$22.70	$57.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.52 / $18.97 / $37.94	Professional		$12.52	$18.97	$37.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $66.58 / $66.58 / $66.58	Professional		$66.58	$66.58	$66.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $15.18 / $18.97 / $26.56	Professional		$15.18	$18.97	$26.56
United Facility/Professional Professional Modifier Low / Median / High Price $7.97 / $11.38 / $36.89	Professional		$7.97	$11.38	$36.89