Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.54 / $77.83 / $276.52	Facility		$26.54	$77.83	$276.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $24.23 / $47.62	Professional		$17.82	$24.23	$47.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.40 / $16.07 / $18.61	Professional		$13.40	$16.07	$18.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.35 / $64.62 / $293.00	Facility		$29.35	$64.62	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.23 / $21.10 / $62.31	Professional		$13.23	$21.10	$62.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $92.60 / $340.81	Facility		$53.00	$92.60	$340.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $23.72 / $76.84	Professional		$16.60	$23.72	$76.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.54 / $35.17 / $89.66	Facility		$18.54	$35.17	$89.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $32.53 / $47.59	Professional		$17.39	$32.53	$47.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $23.81 / $26.79 / $42.86	Professional		$23.81	$26.79	$42.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.43 / $26.79 / $59.76	Professional		$21.43	$26.79	$59.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $60.50 / $128.00 / $128.00	Facility		$60.50	$128.00	$128.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $16.07	Professional		$16.07	$16.07	$16.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.17 / $32.15 / $78.38	Facility		$22.17	$32.15	$78.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.85 / $26.79 / $53.58	Professional		$17.85	$26.79	$53.58
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $94.03 / $94.03 / $94.03	Professional		$94.03	$94.03	$94.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $21.43 / $26.79 / $37.51	Professional		$21.43	$26.79	$37.51
United Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $15.93 / $51.79	Professional		$11.25	$15.93	$51.79