Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $204.17 / $478.63	Facility		$53.70	$204.17	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $40.74 / $229.09	Professional		$30.20	$40.74	$229.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $23.44 / $35.48	Professional		$18.20	$23.44	$35.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $91.20 / $194.98	Facility		$28.84	$91.20	$194.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $30.20 / $100.00	Professional		$16.60	$30.20	$100.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $107.15 / $457.09	Facility		$56.23	$107.15	$457.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $38.90 / $104.71	Professional		$26.92	$38.90	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $66.07 / $141.25	Facility		$26.30	$66.07	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $40.74 / $69.18	Professional		$21.38	$40.74	$69.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.90 / $63.10	Professional		$30.20	$38.90	$63.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $38.90 / $87.10	Professional		$31.62	$38.90	$87.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $51.29 / $81.28	Professional		$35.48	$51.29	$81.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $46.77 / $46.77	Professional		$23.44	$46.77	$46.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $45.71 / $102.33	Facility		$29.51	$45.71	$102.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $36.31 / $77.62	Professional		$20.89	$36.31	$77.62
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $35.48 / $51.29	Professional		$30.20	$35.48	$51.29
United Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $23.44 / $38.90	Facility		$17.78	$23.44	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $20.42 / $70.79	Professional		$16.60	$20.42	$70.79