Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.36 / $54.71 / $195.76	Facility		$21.36	$54.71	$195.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.17 / $18.07 / $24.21	Professional		$14.17	$18.07	$24.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $12.14 / $14.06	Professional		$10.11	$12.14	$14.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.18 / $48.82 / $293.00	Facility		$22.18	$48.82	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.99 / $15.94 / $43.87	Professional		$9.99	$15.94	$43.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $46.50 / $89.10 / $257.63	Facility		$46.50	$89.10	$257.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.54 / $17.92 / $69.95	Professional		$12.54	$17.92	$69.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.02 / $26.58 / $67.77	Facility		$14.02	$26.58	$67.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.16 / $24.56 / $36.14	Professional		$13.16	$24.56	$36.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $20.23 / $32.38	Professional		$17.98	$20.23	$32.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.19 / $20.23 / $45.87	Professional		$16.19	$20.23	$45.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $66.48 / $96.72 / $109.00	Facility		$66.48	$96.72	$109.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $12.14 / $12.14	Professional		$12.14	$12.14	$12.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.79 / $23.42 / $55.90	Facility		$16.79	$23.42	$55.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.45 / $20.23 / $40.47	Professional		$13.45	$20.23	$40.47
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $71.04 / $71.04 / $71.04	Professional		$71.04	$71.04	$71.04
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $16.19 / $20.23 / $28.34	Professional		$16.19	$20.23	$28.34
United Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $12.14 / $38.88	Professional		$8.50	$12.14	$38.88