Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.57 / $71.20 / $283.80	Facility		$20.57	$71.20	$283.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.60 / $27.61 / $50.64	Professional		$20.60	$27.61	$50.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $18.59 / $21.52	Professional		$15.49	$18.59	$21.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.94 / $74.72 / $312.00	Facility		$33.94	$74.72	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $24.40 / $72.09	Professional		$15.30	$24.40	$72.09
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $55.76 / $95.50 / $394.28	Facility		$55.76	$95.50	$394.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $19.20 / $27.43 / $88.86	Professional		$19.20	$27.43	$88.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.44 / $40.68 / $103.72	Facility		$21.44	$40.68	$103.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.16 / $37.58 / $54.81	Professional		$20.16	$37.58	$54.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $30.98 / $49.57	Professional		$27.54	$30.98	$49.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.78 / $30.98 / $69.09	Professional		$24.78	$30.98	$69.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $118.10 / $198.00 / $217.00	Facility		$118.10	$198.00	$217.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.58 / $18.58 / $18.58	Professional		$18.58	$18.58	$18.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $37.04 / $88.54	Facility		$25.70	$37.04	$88.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.64 / $30.98 / $61.96	Professional		$20.64	$30.98	$61.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $108.73 / $108.73 / $108.73	Professional		$108.73	$108.73	$108.73
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $24.78 / $30.98 / $43.37	Professional		$24.78	$30.98	$43.37
United Facility/Professional Professional Modifier Low / Median / High Price $13.01 / $18.59 / $59.90	Professional		$13.01	$18.59	$59.90