Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.57 / $69.81 / $174.24	Facility		$18.57	$69.81	$174.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $16.23 / $48.41	Professional		$13.24	$16.23	$48.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $10.74 / $12.43	Professional		$10.74	$10.74	$12.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.61 / $43.17 / $293.00	Facility		$19.61	$43.17	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.84 / $14.11 / $45.93	Professional		$8.84	$14.11	$45.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $45.10 / $87.20 / $230.18	Facility		$45.10	$87.20	$230.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $11.10 / $15.85 / $61.89	Professional		$11.10	$15.85	$61.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.40 / $23.51 / $59.95	Facility		$12.40	$23.51	$59.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.83 / $21.24 / $29.57	Professional		$11.83	$21.24	$29.57
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $15.86 / $17.89 / $28.64	Professional		$15.86	$17.89	$28.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.32 / $17.89 / $40.56	Professional		$14.32	$17.89	$40.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $124.49 / $158.28 / $158.28	Facility		$124.49	$158.28	$158.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $10.74 / $10.74	Professional		$10.74	$10.74	$10.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.85 / $21.42 / $57.20	Facility		$14.85	$21.42	$57.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.83 / $17.89 / $35.79	Professional		$11.83	$17.89	$35.79
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $62.82 / $62.82 / $62.82	Professional		$62.82	$62.82	$62.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.32 / $17.89 / $25.06	Professional		$14.32	$17.89	$25.06
United Facility/Professional Professional Modifier Low / Median / High Price $7.52 / $10.74 / $34.63	Professional		$7.52	$10.74	$34.63