Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.39 / $51.02 / $236.91	Facility		$20.39	$51.02	$236.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.26 / $20.80 / $41.62	Professional		$15.26	$20.80	$41.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $13.76 / $15.93	Professional		$13.76	$13.76	$15.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.14 / $55.33 / $293.00	Facility		$25.14	$55.33	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.33 / $18.07 / $58.39	Professional		$11.33	$18.07	$58.39
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $49.50 / $91.20 / $292.07	Facility		$49.50	$91.20	$292.07
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $20.30 / $65.81	Professional		$14.22	$20.30	$65.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.89 / $30.12 / $76.79	Facility		$15.89	$30.12	$76.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.07 / $27.75 / $40.96	Professional		$15.07	$27.75	$40.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $20.39 / $22.94 / $36.70	Professional		$20.39	$22.94	$36.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.35 / $22.94 / $51.99	Professional		$18.35	$22.94	$51.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $122.83 / $156.18 / $156.18	Facility		$122.83	$156.18	$156.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $13.76 / $13.76	Professional		$13.76	$13.76	$13.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.03 / $26.54 / $65.00	Facility		$19.03	$26.54	$65.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $22.94 / $45.88	Professional		$15.30	$22.94	$45.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $80.51 / $80.51 / $80.51	Professional		$80.51	$80.51	$80.51
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $18.35 / $22.94 / $32.11	Professional		$18.35	$22.94	$32.11
United Facility/Professional Professional Modifier Low / Median / High Price $9.63 / $13.65 / $44.07	Professional		$9.63	$13.65	$44.07