Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.97 / $90.47 / $214.90	Facility		$21.97	$90.47	$214.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.57 / $18.87 / $54.11	Professional		$14.57	$18.87	$54.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $12.49 / $14.46	Professional		$12.49	$12.49	$14.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.80 / $50.19 / $293.00	Facility		$22.80	$50.19	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.28 / $16.39 / $47.77	Professional		$10.28	$16.39	$47.77
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $47.03 / $89.10 / $271.57	Facility		$47.03	$89.10	$271.57
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.90 / $18.43 / $59.71	Professional		$12.90	$18.43	$59.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.34 / $27.43 / $69.68	Facility		$14.34	$27.43	$69.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.58 / $25.14 / $35.31	Professional		$13.58	$25.14	$35.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $18.50 / $20.81 / $33.29	Professional		$18.50	$20.81	$33.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $20.81 / $45.78	Professional		$16.64	$20.81	$45.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $98.85 / $100.00	Facility		$85.00	$98.85	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $10.40 / $10.40	Professional		$10.40	$10.40	$10.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.91 / $21.85 / $52.03	Facility		$16.91	$21.85	$52.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $20.81 / $35.31	Professional		$13.91	$20.81	$35.31
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $73.04 / $73.04 / $73.04	Professional		$73.04	$73.04	$73.04
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $18.87 / $25.90	Professional		$16.64	$18.87	$25.90
United Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $12.52 / $42.63	Professional		$8.74	$12.52	$42.63