Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.13 / $51.69 / $188.89	Facility		$7.13	$51.69	$188.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $17.72 / $24.30	Professional		$14.22	$17.72	$24.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $12.19 / $14.11	Professional		$10.16	$12.19	$14.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.26 / $49.01 / $293.00	Facility		$22.26	$49.01	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.03 / $16.01 / $47.27	Professional		$10.03	$16.01	$47.27
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $46.10 / $88.35 / $258.63	Facility		$46.10	$88.35	$258.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $17.98 / $70.22	Professional		$12.59	$17.98	$70.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.06 / $26.68 / $68.03	Facility		$14.06	$26.68	$68.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.37 / $24.56 / $36.14	Professional		$13.37	$24.56	$36.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $20.32 / $32.51	Professional		$18.07	$20.32	$32.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.26 / $20.32 / $45.33	Professional		$16.26	$20.32	$45.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $74.47 / $96.72 / $129.00	Facility		$74.47	$96.72	$129.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.19 / $12.19 / $12.19	Professional		$12.19	$12.19	$12.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.86 / $24.30 / $62.69	Facility		$16.86	$24.30	$62.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.45 / $20.32 / $40.64	Professional		$13.45	$20.32	$40.64
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $71.31 / $71.31 / $71.31	Professional		$71.31	$71.31	$71.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $16.26 / $20.32 / $28.45	Professional		$16.26	$20.32	$28.45
United Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $12.19 / $39.29	Professional		$8.52	$12.19	$39.29