Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.73 / $54.99 / $170.77	Facility		$17.73	$54.99	$170.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $15.20 / $20.09	Professional		$12.48	$15.20	$20.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.08 / $10.08 / $10.08	Professional		$10.08	$10.08	$10.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.41 / $40.52 / $293.00	Facility		$18.41	$40.52	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.30 / $13.23 / $39.09	Professional		$8.30	$13.23	$39.09
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $43.51 / $86.00 / $215.92	Facility		$43.51	$86.00	$215.92
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.42 / $14.88 / $58.06	Professional		$10.42	$14.88	$58.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.62 / $22.06 / $56.24	Facility		$11.62	$22.06	$56.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $20.41 / $30.12	Professional		$11.03	$20.41	$30.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $14.94 / $16.80 / $26.88	Professional		$14.94	$16.80	$26.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.44 / $16.80 / $37.47	Professional		$13.44	$16.80	$37.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $84.09 / $106.93 / $106.93	Facility		$84.09	$106.93	$106.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.08 / $10.08 / $10.08	Professional		$10.08	$10.08	$10.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.90 / $20.16 / $53.63	Facility		$13.90	$20.16	$53.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.13 / $16.80 / $33.60	Professional		$11.13	$16.80	$33.60
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $58.96 / $58.96 / $58.96	Professional		$58.96	$58.96	$58.96
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $13.44 / $16.80 / $23.52	Professional		$13.44	$16.80	$23.52
United Facility/Professional Professional Modifier Low / Median / High Price $7.06 / $10.00 / $30.51	Professional		$7.06	$10.00	$30.51