Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.36 / $93.06 / $284.12	Facility		$13.36	$93.06	$284.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.18 / $31.56 / $57.76	Professional		$18.18	$31.56	$57.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.20 / $21.20 / $21.20	Professional		$21.20	$21.20	$21.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.71 / $85.22 / $312.00	Facility		$38.71	$85.22	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.45 / $27.34 / $41.82	Professional		$17.45	$27.34	$41.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $36.11 / $80.09 / $164.42	Facility		$36.11	$80.09	$164.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $21.90 / $31.28 / $57.85	Professional		$21.90	$31.28	$57.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.45 / $46.38 / $118.24	Facility		$24.45	$46.38	$118.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.13 / $42.95 / $62.64	Professional		$23.13	$42.95	$62.64
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $35.33 / $38.86 / $99.00	Professional		$35.33	$38.86	$99.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.26 / $35.33 / $77.73	Professional		$28.26	$35.33	$77.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $111.00 / $196.00 / $214.00	Facility		$111.00	$196.00	$214.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.20 / $21.20 / $21.20	Professional		$21.20	$21.20	$21.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.26 / $38.86 / $90.75	Facility		$28.26	$38.86	$90.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.42 / $35.33 / $70.66	Professional		$23.42	$35.33	$70.66
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $124.00 / $124.00 / $124.00	Professional		$124.00	$124.00	$124.00
United Facility/Professional Professional Modifier Low / Median / High Price $14.84 / $21.20 / $70.31	Professional		$14.84	$21.20	$70.31