Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.25 / $83.14 / $404.88	Facility		$26.25	$83.14	$404.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.78 / $45.76 / $60.83	Professional		$33.78	$45.76	$60.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.43 / $30.52 / $35.32	Professional		$25.43	$30.52	$35.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.73 / $122.67 / $312.00	Facility		$55.73	$122.67	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.11 / $40.06 / $104.26	Professional		$25.11	$40.06	$104.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.30 / $100.00 / $645.13	Facility		$59.30	$100.00	$645.13
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $31.52 / $45.03 / $100.00	Professional		$31.52	$45.03	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.21 / $66.78 / $170.26	Facility		$35.21	$66.78	$170.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.32 / $61.87 / $90.35	Professional		$33.32	$61.87	$90.35
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $45.20 / $50.86 / $81.38	Professional		$45.20	$50.86	$81.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.69 / $50.86 / $110.87	Professional		$40.69	$50.86	$110.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $242.94 / $242.94	Facility		$130.00	$242.94	$242.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.51 / $30.51 / $30.51	Professional		$30.51	$30.51	$30.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.18 / $58.85 / $137.94	Facility		$42.18	$58.85	$137.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.85 / $50.86 / $101.72	Professional		$33.85	$50.86	$101.72
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $178.51 / $178.51 / $178.51	Professional		$178.51	$178.51	$178.51
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $40.69 / $50.86 / $71.20	Professional		$40.69	$50.86	$71.20
United Facility/Professional Professional Modifier Low / Median / High Price $21.36 / $30.52 / $98.32	Professional		$21.36	$30.52	$98.32