Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $100.00 / $316.23	Facility		$25.70	$100.00	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $33.11 / $213.80	Professional		$21.88	$33.11	$213.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $20.42 / $21.88	Professional		$16.98	$20.42	$21.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $79.43 / $169.82	Facility		$18.20	$79.43	$169.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $27.54 / $89.13	Professional		$15.49	$27.54	$89.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $100.00 / $426.58	Facility		$56.23	$100.00	$426.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $36.31 / $100.00	Professional		$25.12	$36.31	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $58.88 / $131.83	Facility		$22.91	$58.88	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $37.15 / $52.48	Professional		$19.95	$37.15	$52.48
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.88 / $54.95	Professional		$28.18	$33.88	$54.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $33.88 / $75.86	Professional		$27.54	$33.88	$75.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $32.36 / $60.26	Professional		$28.84	$32.36	$60.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $40.74 / $40.74	Professional		$20.42	$40.74	$40.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $39.81 / $89.13	Facility		$27.54	$39.81	$89.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $29.51 / $72.44	Professional		$18.62	$29.51	$72.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $31.62 / $47.86	Professional		$27.54	$31.62	$47.86
United Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $20.42 / $33.88	Facility		$15.49	$20.42	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $20.42 / $64.57	Professional		$14.45	$20.42	$64.57