Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.90 / $71.36 / $274.54	Facility		$21.90	$71.36	$274.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.93 / $26.77 / $48.27	Professional		$21.93	$26.77	$48.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.72 / $17.72 / $20.51	Professional		$17.72	$17.72	$20.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $71.23 / $312.00	Facility		$32.36	$71.23	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.58 / $23.27 / $68.72	Professional		$14.58	$23.27	$68.72
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $94.95 / $375.88	Facility		$55.00	$94.95	$375.88
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $26.15 / $84.73	Professional		$18.30	$26.15	$84.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.43 / $38.76 / $98.83	Facility		$20.43	$38.76	$98.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $35.72 / $52.40	Professional		$19.30	$35.72	$52.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $26.25 / $29.53 / $47.25	Professional		$26.25	$29.53	$47.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.62 / $29.53 / $64.38	Professional		$23.62	$29.53	$64.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $111.00 / $142.00 / $198.00	Facility		$111.00	$142.00	$198.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.72 / $17.72 / $17.72	Professional		$17.72	$17.72	$17.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.50 / $35.44 / $84.84	Facility		$24.50	$35.44	$84.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.71 / $29.53 / $59.06	Professional		$19.71	$29.53	$59.06
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $103.65 / $103.65 / $103.65	Professional		$103.65	$103.65	$103.65
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $23.62 / $29.53 / $41.34	Professional		$23.62	$29.53	$41.34
United Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Facility		$75.00	$75.00	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.40 / $17.72 / $59.27	Professional		$12.40	$17.72	$59.27