Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $102.33 / $295.12	Facility		$13.18	$102.33	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.12 / $112.20	Professional		$20.89	$25.12	$112.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $16.60 / $19.50	Professional		$13.80	$16.60	$19.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $64.57 / $138.04	Facility		$15.85	$64.57	$138.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $23.99 / $77.62	Professional		$13.80	$23.99	$77.62
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $95.50 / $371.54	Facility		$53.70	$95.50	$371.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $31.62 / $89.13	Professional		$22.39	$31.62	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $46.77 / $102.33	Facility		$18.62	$46.77	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $28.18 / $45.71	Professional		$16.60	$28.18	$45.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $27.54 / $44.67	Professional		$24.55	$27.54	$44.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $27.54 / $63.10	Professional		$22.39	$27.54	$63.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $26.30 / $48.98	Professional		$23.44	$26.30	$48.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $33.11 / $33.11	Professional		$16.60	$33.11	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $33.11 / $83.18	Facility		$22.91	$33.11	$83.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $25.70 / $63.10	Professional		$16.60	$25.70	$63.10
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $28.18 / $46.77	Professional		$22.39	$28.18	$46.77
United Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $19.05 / $27.54	Facility		$12.59	$19.05	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $16.60 / $54.95	Professional		$11.75	$16.60	$54.95