Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.18 / $44.11 / $188.44	Facility		$9.18	$44.11	$188.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $18.51 / $25.40	Professional		$13.80	$18.51	$25.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $12.74 / $14.74	Professional		$10.62	$12.74	$14.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.26 / $51.21 / $293.00	Facility		$23.26	$51.21	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.48 / $16.73 / $48.40	Professional		$10.48	$16.73	$48.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $47.98 / $89.10 / $270.29	Facility		$47.98	$89.10	$270.29
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $13.16 / $18.80 / $60.93	Professional		$13.16	$18.80	$60.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.70 / $27.88 / $71.06	Facility		$14.70	$27.88	$71.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $25.83 / $37.95	Professional		$13.79	$25.83	$37.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $18.87 / $21.23 / $33.97	Professional		$18.87	$21.23	$33.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $21.23 / $47.36	Professional		$16.98	$21.23	$47.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $101.43 / $101.43	Facility		$50.00	$101.43	$101.43
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15.15 / $25.66 / $40.29	Professional		$15.15	$25.66	$40.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $12.74 / $12.74	Professional		$12.74	$12.74	$12.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.57 / $25.40 / $65.00	Facility		$17.57	$25.40	$65.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.14 / $21.23 / $42.46	Professional		$14.14	$21.23	$42.46
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $74.51 / $74.51 / $74.51	Professional		$74.51	$74.51	$74.51
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $21.23 / $29.72	Professional		$16.98	$21.23	$29.72
United Facility/Professional Facility Modifier Low / Median / High Price $8.92 / $21.23 / $21.23	Facility		$8.92	$21.23	$21.23
United Facility/Professional Professional Modifier Low / Median / High Price $8.92 / $12.63 / $41.05	Professional		$8.92	$12.63	$41.05