Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $132.15 / $302.33	Facility		$30.90	$132.15	$302.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.47 / $26.55 / $52.98	Professional		$19.47	$26.55	$52.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.57 / $17.57 / $17.57	Professional		$17.57	$17.57	$17.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.08 / $70.62 / $311.83	Facility		$32.08	$70.62	$311.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $23.06 / $68.09	Professional		$14.46	$23.06	$68.09
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $94.11 / $372.60	Facility		$55.00	$94.11	$372.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $25.92 / $83.99	Professional		$18.14	$25.92	$83.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.25 / $38.44 / $98.00	Facility		$20.25	$38.44	$98.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.10 / $35.40 / $51.80	Professional		$19.10	$35.40	$51.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $26.02 / $29.28 / $46.85	Professional		$26.02	$29.28	$46.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.42 / $29.28 / $65.31	Professional		$23.42	$29.28	$65.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $161.47 / $205.30 / $205.30	Facility		$161.47	$205.30	$205.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.56 / $17.56 / $17.56	Professional		$17.56	$17.56	$17.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.23 / $35.14 / $94.35	Facility		$24.23	$35.14	$94.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $29.28 / $58.56	Professional		$19.48	$29.28	$58.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $102.77 / $102.77 / $102.77	Professional		$102.77	$102.77	$102.77
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $23.42 / $29.28 / $40.99	Professional		$23.42	$29.28	$40.99
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $17.57 / $53.17	Professional		$12.30	$17.57	$53.17