Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.59 / $62.68 / $144.46	Facility		$13.59	$62.68	$144.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.22 / $11.68 / $23.18	Professional		$8.22	$11.68	$23.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.72 / $7.72 / $7.72	Professional		$7.72	$7.72	$7.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.10 / $31.04 / $293.00	Facility		$14.10	$31.04	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.36 / $10.14 / $29.98	Professional		$6.36	$10.14	$29.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $33.33 / $80.06 / $165.51	Facility		$33.33	$80.06	$165.51
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $7.97 / $11.39 / $61.78	Professional		$7.97	$11.39	$61.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $16.91 / $43.11	Facility		$8.91	$16.91	$43.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.49 / $15.63 / $22.89	Professional		$8.49	$15.63	$22.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $11.44 / $12.87 / $20.59	Professional		$11.44	$12.87	$20.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $12.87 / $29.60	Professional		$10.30	$12.87	$29.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $103.44 / $129.94 / $169.00	Facility		$103.44	$129.94	$169.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.72 / $7.72 / $7.72	Professional		$7.72	$7.72	$7.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $14.90 / $32.18	Facility		$10.68	$14.90	$32.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.58 / $12.87 / $25.74	Professional		$8.58	$12.87	$25.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $45.17 / $45.17 / $45.17	Professional		$45.17	$45.17	$45.17
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $12.87 / $18.02	Professional		$10.30	$12.87	$18.02
United Facility/Professional Professional Modifier Low / Median / High Price $5.41 / $7.72 / $25.82	Professional		$5.41	$7.72	$25.82