Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.83 / $98.62 / $343.07	Facility		$35.83	$98.62	$343.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.86 / $33.72 / $98.70	Professional		$28.86	$33.72	$98.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.79 / $27.79 / $28.94	Professional		$27.79	$27.79	$28.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.74 / $111.70 / $312.00	Facility		$50.74	$111.70	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.52 / $27.54 / $79.04	Professional		$18.52	$27.54	$79.04
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $57.50 / $99.13 / $430.66	Facility		$57.50	$99.13	$430.66
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $21.04 / $30.06 / $100.00	Professional		$21.04	$30.06	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.10 / $60.80 / $151.55	Facility		$30.10	$60.80	$151.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.96 / $53.28 / $70.73	Professional		$24.96	$53.28	$70.73
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $36.95 / $46.31 / $74.09	Professional		$36.95	$46.31	$74.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.04 / $46.31 / $100.96	Professional		$37.04	$46.31	$100.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.58 / $219.97 / $219.97	Facility		$80.58	$219.97	$219.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.78 / $27.78 / $27.78	Professional		$27.78	$27.78	$27.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.26 / $46.31 / $112.40	Facility		$34.26	$46.31	$112.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.29 / $43.88 / $73.12	Professional		$25.29	$43.88	$73.12
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $162.54 / $162.54 / $162.54	Professional		$162.54	$162.54	$162.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $37.04 / $41.38 / $51.73	Professional		$37.04	$41.38	$51.73
United Facility/Professional Professional Modifier Low / Median / High Price $19.45 / $20.42 / $84.09	Professional		$19.45	$20.42	$84.09