Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.75 / $56.53 / $191.41	Facility		$18.75	$56.53	$191.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $18.39 / $30.42	Professional		$15.00	$18.39	$30.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.17 / $12.17 / $12.17	Professional		$12.17	$12.17	$12.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.22 / $48.92 / $293.00	Facility		$22.22	$48.92	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $15.98 / $47.20	Professional		$10.02	$15.98	$47.20
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $46.50 / $89.10 / $258.18	Facility		$46.50	$89.10	$258.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $17.96 / $70.12	Professional		$12.57	$17.96	$70.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.04 / $26.62 / $67.88	Facility		$14.04	$26.62	$67.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.16 / $24.56 / $36.14	Professional		$13.16	$24.56	$36.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $18.03 / $20.28 / $32.45	Professional		$18.03	$20.28	$32.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $20.28 / $45.24	Professional		$16.22	$20.28	$45.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $86.00 / $96.72 / $100.00	Facility		$86.00	$96.72	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.17 / $12.17 / $12.17	Professional		$12.17	$12.17	$12.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.79 / $24.26 / $60.50	Facility		$16.79	$24.26	$60.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.45 / $20.28 / $40.56	Professional		$13.45	$20.28	$40.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $71.18 / $71.18 / $71.18	Professional		$71.18	$71.18	$71.18
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $20.28 / $28.39	Professional		$16.22	$20.28	$28.39
United Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $12.17 / $40.67	Professional		$8.52	$12.17	$40.67