Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $93.88 / $219.84	Facility		$26.30	$93.88	$219.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.11 / $28.60 / $219.84	Professional		$19.11	$28.60	$219.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $20.51 / $20.51	Professional		$20.51	$20.51	$20.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.46 / $82.47 / $312.00	Facility		$37.46	$82.47	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.02 / $30.99 / $51.28	Professional		$14.02	$30.99	$51.28
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $52.60 / $95.10 / $319.39	Facility		$52.60	$95.10	$319.39
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15.95 / $22.79 / $72.23	Professional		$15.95	$22.79	$72.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.83 / $44.88 / $110.21	Facility		$23.83	$44.88	$110.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.12 / $39.24 / $52.14	Professional		$18.12	$39.24	$52.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $28.04 / $34.19 / $54.70	Professional		$28.04	$34.19	$54.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.35 / $34.19 / $74.53	Professional		$27.35	$34.19	$74.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.70 / $162.40 / $162.40	Facility		$54.70	$162.40	$162.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.22 / $34.19 / $81.88	Facility		$22.22	$34.19	$81.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.04 / $33.31 / $41.03	Professional		$19.04	$33.31	$41.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $120.00 / $120.00	Professional		$120.00	$120.00	$120.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $27.35 / $30.77 / $39.26	Professional		$27.35	$30.77	$39.26
United Facility/Professional Professional Modifier Low / Median / High Price $14.36 / $14.73 / $52.31	Professional		$14.36	$14.73	$52.31