Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $134.90 / $288.40	Facility		$33.88	$134.90	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $34.67 / $134.90	Professional		$22.39	$34.67	$134.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $17.78 / $29.51	Professional		$10.00	$17.78	$29.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $69.18 / $147.91	Facility		$19.50	$69.18	$147.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $25.70 / $83.18	Professional		$16.60	$25.70	$83.18
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $97.72 / $398.11	Facility		$54.95	$97.72	$398.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $33.88 / $95.50	Professional		$23.44	$33.88	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $50.12 / $109.65	Facility		$19.95	$50.12	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $34.67 / $52.48	Professional		$19.05	$34.67	$52.48
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $29.51 / $47.86	Professional		$20.89	$29.51	$47.86
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $29.51 / $64.57	Professional		$23.44	$29.51	$64.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $42.66 / $102.33	Professional		$25.12	$42.66	$102.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $35.48 / $35.48	Professional		$17.78	$35.48	$35.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $35.48 / $93.33	Facility		$24.55	$35.48	$93.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $29.51 / $64.57	Professional		$17.38	$29.51	$64.57
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $30.20 / $50.12	Professional		$23.44	$30.20	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $17.78 / $29.51	Facility		$13.18	$17.78	$29.51
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $17.78 / $58.88	Professional		$12.30	$17.78	$58.88