Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.17 / $77.67 / $177.68	Facility		$18.17	$77.67	$177.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.77 / $20.10 / $147.69	Professional		$12.77	$20.10	$147.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.49 / $11.49 / $11.49	Professional		$11.49	$11.49	$11.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.17 / $55.40 / $293.00	Facility		$25.17	$55.40	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $13.96 / $41.02	Professional		$9.19	$13.96	$41.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $45.91 / $87.20 / $221.26	Facility		$45.91	$87.20	$221.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.67 / $15.24 / $53.03	Professional		$10.67	$15.24	$53.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.93 / $30.16 / $75.17	Facility		$14.93	$30.16	$75.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $26.43 / $35.22	Professional		$12.58	$26.43	$35.22
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $18.37 / $22.97 / $36.75	Professional		$18.37	$22.97	$36.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.38 / $22.97 / $51.24	Professional		$18.38	$22.97	$51.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $56.28 / $109.11 / $118.00	Facility		$56.28	$109.11	$118.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.78 / $13.78 / $13.78	Professional		$13.78	$13.78	$13.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.93 / $22.97 / $54.84	Facility		$14.93	$22.97	$54.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.92 / $22.25 / $37.54	Professional		$12.92	$22.25	$37.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $80.62 / $80.62 / $80.62	Professional		$80.62	$80.62	$80.62
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $18.38 / $22.97 / $32.15	Professional		$18.38	$22.97	$32.15
United Facility/Professional Professional Modifier Low / Median / High Price $9.65 / $10.35 / $34.61	Professional		$9.65	$10.35	$34.61