Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.89 / $52.41 / $174.85	Facility		$18.89	$52.41	$174.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.43 / $15.60 / $31.20	Professional		$11.43	$15.60	$31.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.32 / $10.32 / $10.32	Professional		$10.32	$10.32	$10.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.84 / $41.46 / $293.00	Facility		$18.84	$41.46	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.49 / $13.55 / $40.01	Professional		$8.49	$13.55	$40.01
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $44.52 / $87.20 / $220.98	Facility		$44.52	$87.20	$220.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.65 / $15.22 / $59.43	Professional		$10.65	$15.22	$59.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.90 / $22.56 / $57.53	Facility		$11.90	$22.56	$57.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $20.47 / $28.33	Professional		$11.36	$20.47	$28.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $17.19 / $27.50	Professional		$15.28	$17.19	$27.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.75 / $17.19 / $37.47	Professional		$13.75	$17.19	$37.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $59.96 / $99.00 / $149.00	Facility		$59.96	$99.00	$149.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.31 / $10.31 / $10.31	Professional		$10.31	$10.31	$10.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.26 / $19.88 / $42.98	Facility		$14.26	$19.88	$42.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $17.28 / $34.38	Professional		$11.36	$17.28	$34.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $60.33 / $60.33 / $60.33	Professional		$60.33	$60.33	$60.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $13.75 / $17.19 / $24.07	Professional		$13.75	$17.19	$24.07
United Facility/Professional Professional Modifier Low / Median / High Price $7.22 / $10.31 / $34.50	Professional		$7.22	$10.31	$34.50