Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.35 / $63.88 / $284.52	Facility		$13.35	$63.88	$284.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.77 / $22.13 / $63.50	Professional		$14.77	$22.13	$63.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.55 / $26.55 / $26.55	Professional		$26.55	$26.55	$26.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.48 / $106.73 / $312.00	Facility		$48.48	$106.73	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.58 / $17.70 / $36.59	Professional		$14.58	$17.70	$36.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $45.50 / $87.40 / $167.50	Facility		$45.50	$87.40	$167.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $19.47 / $53.62	Professional		$13.63	$19.47	$53.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.76 / $63.56 / $144.81	Facility		$28.76	$63.56	$144.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $34.92 / $67.63	Professional		$10.39	$34.92	$67.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $44.25 / $48.68 / $99.00	Professional		$44.25	$48.68	$99.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.40 / $44.25 / $86.29	Professional		$35.40	$44.25	$86.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $70.80 / $210.19 / $210.19	Facility		$70.80	$210.19	$210.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.55 / $26.55 / $26.55	Professional		$26.55	$26.55	$26.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.64 / $41.13 / $105.82	Facility		$21.64	$41.13	$105.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.20 / $29.45 / $53.10	Professional		$15.20	$29.45	$53.10
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $155.31 / $155.31 / $155.31	Professional		$155.31	$155.31	$155.31
United Facility/Professional Professional Modifier Low / Median / High Price $7.48 / $18.59 / $53.10	Professional		$7.48	$18.59	$53.10