Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $120.23 / $257.04	Facility		$43.65	$120.23	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $26.92 / $186.21	Professional		$19.95	$26.92	$186.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Professional		$18.62	$18.62	$18.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $72.44 / $154.88	Facility		$14.45	$72.44	$154.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $22.91 / $85.11	Professional		$12.30	$22.91	$85.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $91.20 / $323.59	Facility		$48.98	$91.20	$323.59
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $26.30 / $87.10	Professional		$18.20	$26.30	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $52.48 / $109.65	Facility		$20.89	$52.48	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $22.91 / $46.77	Professional		$15.85	$22.91	$46.77
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $30.90 / $48.98	Professional		$24.55	$30.90	$48.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $30.90 / $69.18	Professional		$24.55	$30.90	$69.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $37.15 / $37.15	Professional		$18.62	$37.15	$37.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $34.67 / $81.28	Facility		$22.39	$34.67	$81.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $22.91 / $61.66	Professional		$16.60	$22.91	$61.66
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $27.54 / $41.69	Professional		$24.55	$27.54	$41.69
United Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $16.98 / $30.90	Facility		$13.80	$16.98	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $14.13 / $54.95	Professional		$12.88	$14.13	$54.95