Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.09 / $54.78 / $189.83	Facility		$16.09	$54.78	$189.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.10 / $19.80 / $36.47	Professional		$17.10	$19.80	$36.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.43 / $16.43 / $16.43	Professional		$16.43	$16.43	$16.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.01 / $66.06 / $293.00	Facility		$30.01	$66.06	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $16.39 / $46.08	Professional		$10.96	$16.39	$46.08
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $48.30 / $89.05 / $255.90	Facility		$48.30	$89.05	$255.90
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.46 / $17.80 / $61.96	Professional		$12.46	$17.80	$61.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.80 / $35.96 / $89.62	Facility		$17.80	$35.96	$89.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.78 / $31.80 / $41.81	Professional		$14.78	$31.80	$41.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $21.90 / $27.39 / $43.82	Professional		$21.90	$27.39	$43.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.91 / $27.39 / $61.10	Professional		$21.91	$27.39	$61.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $61.34 / $130.10 / $130.10	Facility		$61.34	$130.10	$130.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.43 / $16.43 / $16.43	Professional		$16.43	$16.43	$16.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.76 / $27.39 / $68.48	Facility		$18.76	$27.39	$68.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.95 / $26.00 / $43.44	Professional		$14.95	$26.00	$43.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $96.13 / $96.13 / $96.13	Professional		$96.13	$96.13	$96.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $21.91 / $27.39 / $38.35	Professional		$21.91	$27.39	$38.35
United Facility/Professional Professional Modifier Low / Median / High Price $11.50 / $12.10 / $52.62	Professional		$11.50	$12.10	$52.62