Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.59 / $74.09 / $279.51	Facility		$21.59	$74.09	$279.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.98 / $27.96 / $38.63	Professional		$23.98	$27.96	$38.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $19.38 / $19.38	Professional		$19.38	$19.38	$19.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.39 / $77.91 / $312.00	Facility		$35.39	$77.91	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.95 / $25.44 / $75.14	Professional		$15.95	$25.44	$75.14
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $56.30 / $95.60 / $411.13	Facility		$56.30	$95.60	$411.13
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $20.02 / $28.60 / $92.67	Professional		$20.02	$28.60	$92.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.35 / $42.42 / $108.15	Facility		$22.35	$42.42	$108.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.01 / $39.22 / $57.22	Professional		$21.01	$39.22	$57.22
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $28.71 / $32.29 / $51.68	Professional		$28.71	$32.29	$51.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.84 / $32.29 / $70.41	Professional		$25.84	$32.29	$70.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $121.00 / $154.50 / $275.00	Facility		$121.00	$154.50	$275.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $19.38 / $19.38	Professional		$19.38	$19.38	$19.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.23 / $38.76 / $92.32	Facility		$24.23	$38.76	$92.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.56 / $32.29 / $64.59	Professional		$21.56	$32.29	$64.59
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $113.37 / $113.37 / $113.37	Professional		$113.37	$113.37	$113.37
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $25.84 / $32.29 / $45.22	Professional		$25.84	$32.29	$45.22
United Facility/Professional Professional Modifier Low / Median / High Price $13.57 / $19.38 / $64.76	Professional		$13.57	$19.38	$64.76