Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.22 / $109.80 / $236.91	Facility		$24.22	$109.80	$236.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.42 / $22.48 / $30.86	Professional		$15.42	$22.48	$30.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.52 / $18.52 / $18.52	Professional		$18.52	$18.52	$18.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.81 / $74.43 / $312.00	Facility		$33.81	$74.43	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $12.71 / $48.39	Professional		$12.34	$12.71	$48.39
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $50.60 / $91.40 / $305.27	Facility		$50.60	$91.40	$305.27
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $20.30 / $80.69	Professional		$14.22	$20.30	$80.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.05 / $40.52 / $101.00	Facility		$20.05	$40.52	$101.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $35.52 / $46.98	Professional		$16.84	$35.52	$46.98
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $24.68 / $30.86 / $49.38	Professional		$24.68	$30.86	$49.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.69 / $30.86 / $68.84	Professional		$24.69	$30.86	$68.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $146.59 / $146.59	Facility		$80.00	$146.59	$146.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.51 / $18.51 / $18.51	Professional		$18.51	$18.51	$18.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.05 / $30.86 / $76.30	Facility		$20.05	$30.86	$76.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $29.66 / $38.19	Professional		$17.39	$29.66	$38.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $108.31 / $108.31 / $108.31	Professional		$108.31	$108.31	$108.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $24.69 / $27.64 / $34.54	Professional		$24.69	$27.64	$34.54
United Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $14.07 / $51.68	Professional		$12.96	$14.07	$51.68