Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.09 / $97.15 / $232.05	Facility		$24.09	$97.15	$232.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.17 / $20.67 / $37.31	Professional		$15.17	$20.67	$37.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.41 / $11.41 / $11.41	Professional		$11.41	$11.41	$11.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.99 / $55.02 / $293.00	Facility		$24.99	$55.02	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.26 / $17.98 / $53.10	Professional		$11.26	$17.98	$53.10
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $49.50 / $90.89 / $290.52	Facility		$49.50	$90.89	$290.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $14.14 / $20.20 / $65.48	Professional		$14.14	$20.20	$65.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.81 / $29.96 / $76.37	Facility		$15.81	$29.96	$76.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.85 / $27.67 / $40.36	Professional		$14.85	$27.67	$40.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $20.28 / $22.81 / $36.50	Professional		$20.28	$22.81	$36.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.25 / $22.81 / $50.18	Professional		$18.25	$22.81	$50.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $135.56 / $172.36 / $172.36	Facility		$135.56	$172.36	$172.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.68 / $13.68 / $13.68	Professional		$13.68	$13.68	$13.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.92 / $26.40 / $65.44	Facility		$18.92	$26.40	$65.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.07 / $22.81 / $45.62	Professional		$15.07	$22.81	$45.62
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $80.06 / $80.06 / $80.06	Professional		$80.06	$80.06	$80.06
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $18.25 / $22.81 / $31.93	Professional		$18.25	$22.81	$31.93
United Facility/Professional Professional Modifier Low / Median / High Price $9.58 / $13.57 / $43.82	Professional		$9.58	$13.57	$43.82