Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.34 / $115.00 / $268.58	Facility		$26.34	$115.00	$268.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.76 / $29.85 / $94.56	Professional		$21.76	$29.85	$94.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.06 / $25.06 / $25.06	Professional		$25.06	$25.06	$25.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.77 / $100.75 / $312.00	Facility		$45.77	$100.75	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.71 / $20.83 / $64.73	Professional		$16.71	$20.83	$64.73
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $95.60 / $317.76	Facility		$53.00	$95.60	$317.76
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15.47 / $22.10 / $76.88	Professional		$15.47	$22.10	$76.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.01 / $54.84 / $134.66	Facility		$27.01	$54.84	$134.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $47.91 / $63.50	Professional		$18.39	$47.91	$63.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $27.17 / $41.77 / $66.83	Professional		$27.17	$41.77	$66.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.42 / $41.77 / $84.00	Professional		$33.42	$41.77	$84.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $102.34 / $198.41 / $275.00	Facility		$102.34	$198.41	$275.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.06 / $25.06 / $25.06	Professional		$25.06	$25.06	$25.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.15 / $41.77 / $96.10	Facility		$27.15	$41.77	$96.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $32.26 / $54.17	Professional		$18.64	$32.26	$54.17
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $146.61 / $146.61 / $146.61	Professional		$146.61	$146.61	$146.61
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $33.42 / $41.77 / $58.48	Professional		$33.42	$41.77	$58.48
United Facility/Professional Professional Modifier Low / Median / High Price $14.65 / $17.54 / $56.21	Professional		$14.65	$17.54	$56.21