Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $47.70 / $161.97	Facility		$13.80	$47.70	$161.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.95 / $17.01 / $22.49	Professional		$13.95	$17.01	$22.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.40 / $11.27 / $13.05	Professional		$9.40	$11.27	$13.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.59 / $45.32 / $293.00	Facility		$20.59	$45.32	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $14.81 / $48.23	Professional		$9.27	$14.81	$48.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $45.10 / $87.40 / $241.59	Facility		$45.10	$87.40	$241.59
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $11.65 / $16.64 / $64.98	Professional		$11.65	$16.64	$64.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.99 / $24.66 / $62.88	Facility		$12.99	$24.66	$62.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.31 / $22.72 / $33.13	Professional		$12.31	$22.72	$33.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $16.71 / $18.79 / $30.06	Professional		$16.71	$18.79	$30.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.03 / $18.79 / $42.58	Professional		$15.03	$18.79	$42.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $94.00 / $94.06 / $122.00	Facility		$94.00	$94.06	$122.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.27 / $11.27 / $11.27	Professional		$11.27	$11.27	$11.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.56 / $22.55 / $57.75	Facility		$15.56	$22.55	$57.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.52 / $18.79 / $37.58	Professional		$12.52	$18.79	$37.58
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $65.95 / $65.95 / $65.95	Professional		$65.95	$65.95	$65.95
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $15.03 / $18.79 / $26.31	Professional		$15.03	$18.79	$26.31
United Facility/Professional Professional Modifier Low / Median / High Price $7.89 / $11.27 / $36.36	Professional		$7.89	$11.27	$36.36