Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.86 / $117.24 / $253.00	Facility		$25.86	$117.24	$253.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.21 / $22.21 / $42.72	Professional		$15.21	$22.21	$42.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.71 / $14.71 / $14.71	Professional		$14.71	$14.71	$14.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.86 / $59.12 / $293.00	Facility		$26.86	$59.12	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.10 / $19.30 / $53.12	Professional		$12.10	$19.30	$53.12
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $51.70 / $92.60 / $311.83	Facility		$51.70	$92.60	$311.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15.19 / $21.70 / $70.30	Professional		$15.19	$21.70	$70.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.95 / $32.18 / $82.04	Facility		$16.95	$32.18	$82.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.92 / $29.66 / $43.37	Professional		$15.92	$29.66	$43.37
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $21.79 / $24.51 / $39.22	Professional		$21.79	$24.51	$39.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.61 / $24.51 / $54.67	Professional		$19.61	$24.51	$54.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $116.76 / $116.76	Facility		$55.00	$116.76	$116.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $14.70 / $14.70	Professional		$14.70	$14.70	$14.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.32 / $29.31 / $70.01	Facility		$20.32	$29.31	$70.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $24.51 / $49.02	Professional		$16.23	$24.51	$49.02
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $86.03 / $86.03 / $86.03	Professional		$86.03	$86.03	$86.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $19.61 / $24.51 / $34.31	Professional		$19.61	$24.51	$34.31
United Facility/Professional Professional Modifier Low / Median / High Price $10.29 / $14.57 / $47.37	Professional		$10.29	$14.57	$47.37