Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.58 / $63.72 / $223.84	Facility		$11.58	$63.72	$223.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.53 / $20.83 / $30.44	Professional		$12.53	$20.83	$30.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.18 / $14.18 / $16.07	Professional		$14.18	$14.18	$16.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.90 / $57.02 / $293.00	Facility		$25.90	$57.02	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.43 / $18.23 / $51.00	Professional		$11.43	$18.23	$51.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $49.50 / $91.20 / $294.52	Facility		$49.50	$91.20	$294.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $20.49 / $66.41	Professional		$14.34	$20.49	$66.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.02 / $31.05 / $79.16	Facility		$16.02	$31.05	$79.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.07 / $28.06 / $42.16	Professional		$15.07	$28.06	$42.16
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $20.57 / $23.64 / $37.82	Professional		$20.57	$23.64	$37.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.91 / $23.64 / $52.73	Professional		$18.91	$23.64	$52.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $112.29 / $112.29	Facility		$55.00	$112.29	$112.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.18 / $14.18 / $14.18	Professional		$14.18	$14.18	$14.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.14 / $27.86 / $67.95	Facility		$19.14	$27.86	$67.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.77 / $23.64 / $47.28	Professional		$15.77	$23.64	$47.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $82.97 / $82.97 / $82.97	Professional		$82.97	$82.97	$82.97
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $18.91 / $23.64 / $33.10	Professional		$18.91	$23.64	$33.10
United Facility/Professional Professional Modifier Low / Median / High Price $9.93 / $13.77 / $45.41	Professional		$9.93	$13.77	$45.41