Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.72 / $93.92 / $202.61	Facility		$20.72	$93.92	$202.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.72 / $17.79 / $23.48	Professional		$14.72	$17.79	$23.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.78 / $11.78 / $11.78	Professional		$11.78	$11.78	$11.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.51 / $47.35 / $293.00	Facility		$21.51	$47.35	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $15.46 / $29.44	Professional		$9.69	$15.46	$29.44
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 $13.58 / $25.78 / $65.70	Facility		$13.58	$25.78	$65.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.73 / $23.17 / $31.21	Professional		$12.73	$23.17	$31.21
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $17.45 / $19.63 / $31.41	Professional		$17.45	$19.63	$31.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.70 / $19.63 / $43.19	Professional		$15.70	$19.63	$43.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $93.24 / $100.00	Facility		$80.00	$93.24	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.78 / $11.78 / $11.78	Professional		$11.78	$11.78	$11.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.28 / $21.59 / $50.58	Facility		$16.28	$21.59	$50.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.98 / $19.63 / $39.26	Professional		$12.98	$19.63	$39.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $68.90 / $68.90 / $68.90	Professional		$68.90	$68.90	$68.90
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $15.70 / $17.80 / $24.43	Professional		$15.70	$17.80	$24.43
United Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $11.78 / $39.49	Professional		$8.24	$11.78	$39.49