Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.80 / $76.12 / $174.15	Facility		$17.80	$76.12	$174.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $15.29 / $30.58	Professional		$8.94	$15.29	$30.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.63 / $5.63 / $5.63	Professional		$5.63	$5.63	$5.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.48 / $40.69 / $293.00	Facility		$18.48	$40.69	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.33 / $13.29 / $39.11	Professional		$8.33	$13.29	$39.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $43.69 / $86.00 / $216.84	Facility		$43.69	$86.00	$216.84
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.45 / $14.93 / $58.32	Professional		$10.45	$14.93	$58.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.09 / $21.94 / $56.50	Facility		$11.09	$21.94	$56.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.13 / $20.65 / $36.47	Professional		$11.13	$20.65	$36.47
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $14.99 / $16.87 / $26.99	Professional		$14.99	$16.87	$26.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $16.87 / $32.90	Professional		$13.50	$16.87	$32.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $86.00 / $94.00	Facility		$55.00	$86.00	$94.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $10.11 / $10.11	Professional		$10.11	$10.11	$10.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.58 / $19.39 / $45.50	Facility		$13.58	$19.39	$45.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.13 / $16.87 / $33.74	Professional		$11.13	$16.87	$33.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $59.21 / $59.21 / $59.21	Professional		$59.21	$59.21	$59.21
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $16.87 / $23.62	Professional		$13.50	$16.87	$23.62
United Facility/Professional Professional Modifier Low / Median / High Price $7.09 / $10.02 / $33.57	Professional		$7.09	$10.02	$33.57