Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.98 / $58.88 / $185.64	Facility		$18.98	$58.88	$185.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.96 / $16.09 / $21.51	Professional		$11.96	$16.09	$21.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.79 / $10.79 / $10.79	Professional		$10.79	$10.79	$10.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.70 / $43.37 / $293.00	Facility		$19.70	$43.37	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.88 / $14.16 / $38.96	Professional		$8.88	$14.16	$38.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $45.10 / $87.40 / $231.10	Facility		$45.10	$87.40	$231.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $11.14 / $15.92 / $62.15	Professional		$11.14	$15.92	$62.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.45 / $23.61 / $60.20	Facility		$12.45	$23.61	$60.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.67 / $21.69 / $31.92	Professional		$11.67	$21.69	$31.92
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $15.98 / $17.98 / $28.77	Professional		$15.98	$17.98	$28.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.38 / $17.98 / $39.56	Professional		$14.38	$17.98	$39.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $56.75 / $86.10 / $86.10	Facility		$56.75	$86.10	$86.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.79 / $10.79 / $10.79	Professional		$10.79	$10.79	$10.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.91 / $20.81 / $44.95	Facility		$14.91	$20.81	$44.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.06 / $17.98 / $35.96	Professional		$12.06	$17.98	$35.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.38 / $17.98 / $25.17	Professional		$14.38	$17.98	$25.17
United Facility/Professional Professional Modifier Low / Median / High Price $7.55 / $10.69 / $34.76	Professional		$7.55	$10.69	$34.76