Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.08 / $118.47 / $192.00	Facility		$22.08	$118.47	$192.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.40 / $22.70 / $123.52	Professional		$13.40	$22.70	$123.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.82 / $11.82 / $11.82	Professional		$11.82	$11.82	$11.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.59 / $47.52 / $293.00	Facility		$21.59	$47.52	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $15.46 / $29.55	Professional		$9.69	$15.46	$29.55
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $45.50 / $87.70 / $249.80	Facility		$45.50	$87.70	$249.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.17 / $17.38 / $67.86	Professional		$12.17	$17.38	$67.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.94 / $25.88 / $65.97	Facility		$12.94	$25.88	$65.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.73 / $22.72 / $29.94	Professional		$12.73	$22.72	$29.94
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $17.45 / $19.70 / $31.52	Professional		$17.45	$19.70	$31.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.76 / $19.70 / $43.34	Professional		$15.76	$19.70	$43.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $64.48 / $93.58 / $93.58	Facility		$64.48	$93.58	$93.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.82 / $11.82 / $11.82	Professional		$11.82	$11.82	$11.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.76 / $20.09 / $49.96	Facility		$15.76	$20.09	$49.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.98 / $19.70 / $39.40	Professional		$12.98	$19.70	$39.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $69.14 / $69.14 / $69.14	Professional		$69.14	$69.14	$69.14
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $15.76 / $17.80 / $24.43	Professional		$15.76	$17.80	$24.43
United Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $11.68 / $38.17	Professional		$8.27	$11.68	$38.17