Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.52 / $79.19 / $244.46	Facility		$25.52	$79.19	$244.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $21.77 / $28.93	Professional		$16.93	$21.77	$28.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.09 / $14.51 / $16.79	Professional		$12.09	$14.51	$16.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.49 / $58.32 / $293.00	Facility		$26.49	$58.32	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.94 / $19.05 / $52.42	Professional		$11.94	$19.05	$52.42
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $51.03 / $92.60 / $307.83	Facility		$51.03	$92.60	$307.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $14.99 / $21.41 / $69.37	Professional		$14.99	$21.41	$69.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.75 / $31.75 / $80.95	Facility		$16.75	$31.75	$80.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.11 / $18.89 / $40.24	Professional		$15.11	$18.89	$40.24
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $21.49 / $24.18 / $38.69	Professional		$21.49	$24.18	$38.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.34 / $24.18 / $52.71	Professional		$19.34	$24.18	$52.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $115.59 / $115.59	Facility		$53.00	$115.59	$115.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.51 / $14.51 / $14.51	Professional		$14.51	$14.51	$14.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.64 / $27.81 / $63.57	Facility		$19.64	$27.81	$63.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $24.18 / $48.36	Professional		$16.00	$24.18	$48.36
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $84.87 / $84.87 / $84.87	Professional		$84.87	$84.87	$84.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $19.34 / $24.18 / $33.85	Professional		$19.34	$24.18	$33.85
United Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $14.51 / $46.45	Professional		$10.16	$14.51	$46.45