Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $97.72 / $302.00	Facility		$22.39	$97.72	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $26.92 / $131.83	Professional		$21.88	$26.92	$131.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $19.50 / $20.42	Professional		$18.20	$19.50	$20.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $69.18 / $147.91	Facility		$16.98	$69.18	$147.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $25.12 / $87.10	Professional		$14.45	$25.12	$87.10
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $95.50 / $398.11	Facility		$54.95	$95.50	$398.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $33.88 / $95.50	Professional		$23.44	$33.88	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $48.98 / $107.15	Facility		$19.95	$48.98	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $29.51 / $48.98	Professional		$17.38	$29.51	$48.98
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $29.51 / $46.77	Professional		$26.30	$29.51	$46.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $29.51 / $64.57	Professional		$23.44	$29.51	$64.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $199.53	Facility		$141.25	$141.25	$199.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $35.48 / $35.48	Professional		$17.78	$35.48	$35.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $35.48 / $87.10	Facility		$24.55	$35.48	$87.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $27.54 / $67.61	Professional		$17.38	$27.54	$67.61
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $30.20 / $50.12	Professional		$23.44	$30.20	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $20.42 / $29.51	Facility		$13.18	$20.42	$29.51
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $17.78 / $58.88	Professional		$12.30	$17.78	$58.88