Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.96 / $90.44 / $250.07	Facility		$25.96	$90.44	$250.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.72 / $22.02 / $64.97	Professional		$17.72	$22.02	$64.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.99 / $15.99 / $15.99	Professional		$15.99	$15.99	$15.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.20 / $64.28 / $293.00	Facility		$29.20	$64.28	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.15 / $19.37 / $54.63	Professional		$12.15	$19.37	$54.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $52.40 / $92.60 / $313.02	Facility		$52.40	$92.60	$313.02
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15.25 / $21.78 / $70.56	Professional		$15.25	$21.78	$70.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.32 / $34.99 / $89.20	Facility		$17.32	$34.99	$89.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.13 / $30.56 / $47.59	Professional		$16.13	$30.56	$47.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $21.86 / $26.65 / $42.64	Professional		$21.86	$26.65	$42.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.32 / $26.65 / $59.45	Professional		$21.32	$26.65	$59.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $126.59 / $126.59	Facility		$55.00	$126.59	$126.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.99 / $15.99 / $15.99	Professional		$15.99	$15.99	$15.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.41 / $30.83 / $75.00	Facility		$20.41	$30.83	$75.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $26.65 / $53.10	Professional		$17.62	$26.65	$53.10
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $93.54 / $93.54 / $93.54	Professional		$93.54	$93.54	$93.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $21.32 / $26.65 / $37.31	Professional		$21.32	$26.65	$37.31
United Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $14.63 / $49.48	Professional		$11.19	$14.63	$49.48