Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.61 / $102.49 / $211.83	Facility		$20.61	$102.49	$211.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.10 / $16.25 / $95.76	Professional		$13.10	$16.25	$95.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.59 / $10.59 / $10.59	Professional		$10.59	$10.59	$10.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.34 / $42.57 / $293.00	Facility		$19.34	$42.57	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.72 / $13.90 / $45.30	Professional		$8.72	$13.90	$45.30
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $44.60 / $87.20 / $226.87	Facility		$44.60	$87.20	$226.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.94 / $15.63 / $61.00	Professional		$10.94	$15.63	$61.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.22 / $23.17 / $59.07	Facility		$12.22	$23.17	$59.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.83 / $20.85 / $29.16	Professional		$11.83	$20.85	$29.16
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $17.64 / $28.24	Professional		$15.69	$17.64	$28.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.12 / $17.64 / $40.00	Professional		$14.12	$17.64	$40.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $140.82 / $179.05 / $179.05	Facility		$140.82	$179.05	$179.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.59 / $10.59 / $10.59	Professional		$10.59	$10.59	$10.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.64 / $21.11 / $55.90	Facility		$14.64	$21.11	$55.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.83 / $17.73 / $35.29	Professional		$11.83	$17.73	$35.29
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $61.95 / $61.95 / $61.95	Professional		$61.95	$61.95	$61.95
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.12 / $17.64 / $24.71	Professional		$14.12	$17.64	$24.71
United Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $10.50 / $35.07	Professional		$7.41	$10.50	$35.07