Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.42 / $88.59 / $189.97	Facility		$19.42	$88.59	$189.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.23 / $17.52 / $27.58	Professional		$12.23	$17.52	$27.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.78 / $12.78 / $12.78	Professional		$12.78	$12.78	$12.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.14 / $44.36 / $293.00	Facility		$20.14	$44.36	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.08 / $14.49 / $42.98	Professional		$9.08	$14.49	$42.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $45.10 / $87.40 / $236.44	Facility		$45.10	$87.40	$236.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $11.40 / $16.29 / $63.61	Professional		$11.40	$16.29	$63.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.75 / $24.14 / $61.54	Facility		$12.75	$24.14	$61.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.10 / $22.30 / $32.53	Professional		$12.10	$22.30	$32.53
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $16.35 / $18.39 / $29.42	Professional		$16.35	$18.39	$29.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.71 / $18.39 / $40.09	Professional		$14.71	$18.39	$40.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $81.91 / $104.14 / $104.14	Facility		$81.91	$104.14	$104.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $11.03 / $11.03	Professional		$11.03	$11.03	$11.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $21.49 / $52.56	Facility		$15.00	$21.49	$52.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.29 / $18.39 / $36.78	Professional		$12.29	$18.39	$36.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $64.54 / $64.54 / $64.54	Professional		$64.54	$64.54	$64.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.71 / $16.68 / $22.89	Professional		$14.71	$16.68	$22.89
United Facility/Professional Professional Modifier Low / Median / High Price $7.72 / $11.03 / $49.39	Professional		$7.72	$11.03	$49.39