Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.00 / $47.39 / $218.50	Facility		$7.00	$47.39	$218.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.89 / $25.09 / $33.61	Professional		$14.89	$25.09	$33.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.05 / $16.86 / $21.53	Professional		$14.05	$16.86	$21.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.79 / $67.78 / $299.27	Facility		$30.79	$67.78	$299.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.88 / $22.13 / $65.34	Professional		$13.88	$22.13	$65.34
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $54.37 / $92.60 / $357.57	Facility		$54.37	$92.60	$357.57
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $17.42 / $24.88 / $80.63	Professional		$17.42	$24.88	$80.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.46 / $36.90 / $94.09	Facility		$19.46	$36.90	$94.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.46 / $34.11 / $49.99	Professional		$18.46	$34.11	$49.99
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $24.97 / $28.10 / $44.96	Professional		$24.97	$28.10	$44.96
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $30.58 / $30.58 / $30.58	Professional		$30.58	$30.58	$30.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.48 / $28.10 / $61.82	Professional		$22.48	$28.10	$61.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $108.00 / $134.46 / $137.00	Facility		$108.00	$134.46	$137.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15.15 / $33.84 / $53.22	Professional		$15.15	$33.84	$53.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $16.86 / $16.86	Professional		$16.86	$16.86	$16.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.30 / $33.61 / $80.30	Facility		$23.30	$33.61	$80.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.78 / $28.10 / $56.20	Professional		$18.78	$28.10	$56.20
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $98.63 / $98.63 / $98.63	Professional		$98.63	$98.63	$98.63
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $22.48 / $28.10 / $39.34	Professional		$22.48	$28.10	$39.34
United Facility/Professional Professional Modifier Low / Median / High Price $11.80 / $16.72 / $55.83	Professional		$11.80	$16.72	$55.83