Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.52 / $53.73 / $204.25	Facility		$19.52	$53.73	$204.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $26.27 / $97.90	Professional		$16.30	$26.27	$97.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Professional		$13.18	$13.18	$13.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.06 / $52.97 / $293.00	Facility		$24.06	$52.97	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.85 / $17.30 / $44.47	Professional		$10.85	$17.30	$44.47
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $48.90 / $89.10 / $279.49	Facility		$48.90	$89.10	$279.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $13.62 / $19.45 / $63.02	Professional		$13.62	$19.45	$63.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.19 / $28.83 / $73.48	Facility		$15.19	$28.83	$73.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.61 / $26.79 / $36.54	Professional		$14.61	$26.79	$36.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $19.52 / $21.96 / $35.14	Professional		$19.52	$21.96	$35.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.57 / $21.96 / $49.00	Professional		$17.57	$21.96	$49.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $101.00 / $104.97 / $122.00	Facility		$101.00	$104.97	$122.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.17 / $13.17 / $13.17	Professional		$13.17	$13.17	$13.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.22 / $26.27 / $67.59	Facility		$18.22	$26.27	$67.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.18 / $23.68 / $43.92	Professional		$16.18	$23.68	$43.92
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $77.06 / $77.06 / $77.06	Professional		$77.06	$77.06	$77.06
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $17.57 / $21.96 / $30.74	Professional		$17.57	$21.96	$30.74
United Facility/Professional Professional Modifier Low / Median / High Price $9.22 / $13.07 / $42.19	Professional		$9.22	$13.07	$42.19