Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.93 / $56.64 / $170.42	Facility		$18.93	$56.64	$170.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.35 / $16.37 / $32.15	Professional		$13.35	$16.37	$32.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.07 / $15.07 / $15.07	Professional		$15.07	$15.07	$15.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.42 / $58.15 / $293.00	Facility		$26.42	$58.15	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $14.64 / $43.03	Professional		$9.64	$14.64	$43.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $46.50 / $87.40 / $232.12	Facility		$46.50	$87.40	$232.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $15.99 / $55.64	Professional		$11.19	$15.99	$55.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.67 / $31.65 / $78.90	Facility		$15.67	$31.65	$78.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.36 / $28.08 / $36.65	Professional		$13.36	$28.08	$36.65
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $16.34 / $24.11 / $38.58	Professional		$16.34	$24.11	$38.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.29 / $24.11 / $52.56	Professional		$19.29	$24.11	$52.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $59.33 / $114.52 / $188.00	Facility		$59.33	$114.52	$188.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $14.46 / $14.46	Professional		$14.46	$14.46	$14.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.83 / $24.11 / $59.86	Facility		$15.83	$24.11	$59.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.38 / $23.35 / $39.15	Professional		$13.38	$23.35	$39.15
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $84.62 / $84.62 / $84.62	Professional		$84.62	$84.62	$84.62
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $19.29 / $24.11 / $33.75	Professional		$19.29	$24.11	$33.75
United Facility/Professional Professional Modifier Low / Median / High Price $10.13 / $10.86 / $36.33	Professional		$10.13	$10.86	$36.33