Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.41 / $64.26 / $272.95	Facility		$19.41	$64.26	$272.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.18 / $63.33 / $92.32	Professional		$22.18	$63.33	$92.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.73 / $15.27 / $15.27	Professional		$12.73	$15.27	$15.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.89 / $61.39 / $293.00	Facility		$27.89	$61.39	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $20.04 / $49.49	Professional		$12.57	$20.04	$49.49
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $46.89 / $87.40 / $236.35	Facility		$46.89	$87.40	$236.35
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15.77 / $22.53 / $56.67	Professional		$15.77	$22.53	$56.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.60 / $33.40 / $85.18	Facility		$17.60	$33.40	$85.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $30.12 / $42.30	Professional		$16.93	$30.12	$42.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $25.45 / $40.72	Professional		$17.82	$25.45	$40.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.36 / $25.45 / $56.77	Professional		$20.36	$25.45	$56.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $102.74 / $129.06 / $140.25	Facility		$102.74	$129.06	$140.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $31.81 / $50.46	Professional		$22.91	$31.81	$50.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.27 / $15.27 / $15.27	Professional		$15.27	$15.27	$15.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.11 / $29.44 / $73.95	Facility		$21.11	$29.44	$73.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $25.45 / $50.90	Professional		$16.93	$25.45	$50.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $89.32 / $89.32 / $89.32	Professional		$89.32	$89.32	$89.32
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $20.36 / $25.45 / $35.63	Professional		$20.36	$25.45	$35.63
United Facility/Professional Facility Modifier Low / Median / High Price $11.45 / $15.27 / $18.80	Facility		$11.45	$15.27	$18.80
United Facility/Professional Professional Modifier Low / Median / High Price $10.69 / $15.14 / $44.43	Professional		$10.69	$15.14	$44.43