Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $93.33 / $288.40	Facility		$20.42	$93.33	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $33.11 / $204.17	Professional		$19.95	$33.11	$204.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $15.14 / $25.70	Professional		$12.59	$15.14	$25.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $58.88 / $128.82	Facility		$14.45	$58.88	$128.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $21.88 / $67.61	Professional		$12.59	$21.88	$67.61
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $85.11 / $245.47	Facility		$45.71	$85.11	$245.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.84 / $66.07	Professional		$19.95	$28.84	$66.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $42.66 / $93.33	Facility		$16.98	$42.66	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $25.70 / $42.66	Professional		$15.14	$25.70	$42.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.70 / $40.74	Professional		$20.42	$25.70	$40.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.70 / $56.23	Professional		$20.42	$25.70	$56.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $24.55 / $47.86	Professional		$21.88	$24.55	$47.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $30.20 / $30.20	Professional		$15.14	$30.20	$30.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $30.20 / $75.86	Facility		$20.42	$30.20	$75.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $23.44 / $57.54	Professional		$15.14	$23.44	$57.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $22.91 / $34.67	Professional		$20.42	$22.91	$34.67
United Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $15.14 / $25.70	Facility		$11.48	$15.14	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $15.14 / $50.12	Professional		$10.72	$15.14	$50.12