Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.25 / $47.52 / $166.37	Facility		$17.25	$47.52	$166.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.77 / $15.59 / $20.58	Professional		$12.77	$15.59	$20.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.32 / $10.32 / $10.32	Professional		$10.32	$10.32	$10.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.85 / $41.49 / $293.00	Facility		$18.85	$41.49	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $13.55 / $39.90	Professional		$8.50	$13.55	$39.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $44.55 / $87.00 / $221.17	Facility		$44.55	$87.00	$221.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.67 / $15.24 / $59.47	Professional		$10.67	$15.24	$59.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.91 / $22.58 / $57.58	Facility		$11.91	$22.58	$57.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $21.05 / $30.72	Professional		$11.25	$21.05	$30.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $15.29 / $17.20 / $27.52	Professional		$15.29	$17.20	$27.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $17.20 / $37.50	Professional		$13.76	$17.20	$37.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $79.00 / $82.56 / $100.00	Facility		$79.00	$82.56	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.60 / $8.60 / $8.60	Professional		$8.60	$8.60	$8.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.28 / $20.64 / $55.61	Facility		$14.28	$20.64	$55.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.34 / $14.80 / $34.40	Professional		$9.34	$14.80	$34.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $60.37 / $60.37 / $60.37	Professional		$60.37	$60.37	$60.37
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $17.20 / $24.08	Professional		$13.76	$17.20	$24.08
United Facility/Professional Professional Modifier Low / Median / High Price $7.22 / $10.24 / $33.26	Professional		$7.22	$10.24	$33.26