Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $70.79 / $245.47	Facility		$5.89	$70.79	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.70 / $100.00	Professional		$18.20	$25.70	$100.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.49 / $25.70	Professional		$12.02	$15.49	$25.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $60.26 / $128.82	Facility		$14.79	$60.26	$128.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $22.39 / $72.44	Professional		$12.88	$22.39	$72.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $93.33 / $346.74	Facility		$52.48	$93.33	$346.74
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $29.51 / $83.18	Professional		$20.42	$29.51	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $43.65 / $95.50	Facility		$17.38	$43.65	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $29.51 / $45.71	Professional		$16.22	$29.51	$45.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $25.70 / $41.69	Professional		$22.91	$25.70	$41.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.70 / $57.54	Professional		$20.42	$25.70	$57.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $32.36 / $141.25	Professional		$21.88	$32.36	$141.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $30.90 / $30.90	Professional		$15.49	$30.90	$30.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $30.90 / $77.62	Facility		$20.42	$30.90	$77.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $25.70 / $56.23	Professional		$15.14	$25.70	$56.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $26.30 / $43.65	Professional		$20.42	$26.30	$43.65
United Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $17.78 / $25.70	Facility		$11.48	$17.78	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.49 / $51.29	Professional		$10.96	$15.49	$51.29