Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.35 / $265.43 / $663.38	Facility		$57.35	$265.43	$663.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.65 / $37.43 / $90.51	Professional		$30.65	$37.43	$90.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.98 / $24.77 / $41.28	Professional		$18.98	$24.77	$41.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.23 / $99.57 / $312.00	Facility		$45.23	$99.57	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.38 / $32.52 / $104.59	Professional		$20.38	$32.52	$104.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.90 / $100.00 / $523.64	Facility		$58.90	$100.00	$523.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $36.54 / $100.00	Professional		$25.59	$36.54	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.57 / $54.20 / $138.16	Facility		$28.57	$54.20	$138.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.36 / $49.04 / $68.56	Professional		$27.36	$49.04	$68.56
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $34.84 / $41.28 / $66.05	Professional		$34.84	$41.28	$66.05
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $41.28 / $41.28 / $50.55	Professional		$41.28	$41.28	$50.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.02 / $41.28 / $90.82	Professional		$33.02	$41.28	$90.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $107.98 / $196.95 / $196.95	Facility		$107.98	$196.95	$196.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $49.78 / $78.59	Professional		$37.15	$49.78	$78.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.77 / $24.77 / $24.77	Professional		$24.77	$24.77	$24.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.24 / $47.76 / $110.50	Facility		$34.24	$47.76	$110.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.36 / $41.28 / $82.56	Professional		$27.36	$41.28	$82.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $144.88 / $144.88 / $144.88	Professional		$144.88	$144.88	$144.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $33.02 / $41.28 / $57.79	Professional		$33.02	$41.28	$57.79
United Facility/Professional Professional Modifier Low / Median / High Price $17.34 / $24.77 / $83.03	Professional		$17.34	$24.77	$83.03