Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $98.85 / $339.97	Facility		$18.05	$98.85	$339.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.15 / $32.60 / $63.76	Professional		$27.15	$32.60	$63.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.94 / $21.94 / $25.39	Professional		$21.94	$21.94	$25.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.07 / $88.21 / $312.00	Facility		$40.07	$88.21	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $28.81 / $84.81	Professional		$18.05	$28.81	$84.81
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.70 / $99.33 / $463.90	Facility		$58.70	$99.33	$463.90
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $22.67 / $32.38 / $100.00	Professional		$22.67	$32.38	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.31 / $48.02 / $122.42	Facility		$25.31	$48.02	$122.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.35 / $43.64 / $60.77	Professional		$24.35	$43.64	$60.77
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $32.50 / $36.57 / $58.51	Professional		$32.50	$36.57	$58.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.26 / $36.57 / $81.56	Professional		$29.26	$36.57	$81.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $146.69 / $186.52 / $231.00	Facility		$146.69	$186.52	$231.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.94 / $21.94 / $21.94	Professional		$21.94	$21.94	$21.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.34 / $42.71 / $107.84	Facility		$30.34	$42.71	$107.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.35 / $36.76 / $73.14	Professional		$24.35	$36.76	$73.14
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $128.36 / $128.36 / $128.36	Professional		$128.36	$128.36	$128.36
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.26 / $36.57 / $51.20	Professional		$29.26	$36.57	$51.20
United Facility/Professional Professional Modifier Low / Median / High Price $15.36 / $21.94 / $70.70	Professional		$15.36	$21.94	$70.70