Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.73 / $80.36 / $222.41	Facility		$17.73	$80.36	$222.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.86 / $20.09 / $91.29	Professional		$13.86	$20.09	$91.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.07 / $21.07 / $21.07	Professional		$21.07	$21.07	$21.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.47 / $84.69 / $312.00	Facility		$38.47	$84.69	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $14.04 / $36.51	Professional		$10.19	$14.04	$36.51
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $42.46 / $83.24 / $170.57	Facility		$42.46	$83.24	$170.57
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.42 / $14.88 / $51.75	Professional		$10.42	$14.88	$51.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $46.10 / $113.19	Facility		$16.22	$46.10	$113.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $39.15 / $53.69	Professional		$12.39	$39.15	$53.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $35.11 / $38.61 / $99.00	Professional		$35.11	$38.61	$99.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.09 / $35.11 / $68.45	Professional		$28.09	$35.11	$68.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $166.77 / $166.77	Facility		$80.00	$166.77	$166.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.06 / $21.06 / $21.06	Professional		$21.06	$21.06	$21.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.46 / $32.86 / $84.20	Facility		$16.46	$32.86	$84.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.82 / $23.42 / $42.13	Professional		$12.82	$23.42	$42.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $123.23 / $123.23 / $123.23	Professional		$123.23	$123.23	$123.23
United Facility/Professional Facility Modifier Low / Median / High Price $9.78 / $15.80 / $21.07	Facility		$9.78	$15.80	$21.07
United Facility/Professional Professional Modifier Low / Median / High Price $7.79 / $14.75 / $42.13	Professional		$7.79	$14.75	$42.13