Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $87.10 / $234.42	Facility		$8.71	$87.10	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $22.39 / $141.25	Professional		$16.98	$22.39	$141.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $13.49 / $35.48	Professional		$11.22	$13.49	$35.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $37.15 / $109.65	Facility		$8.71	$37.15	$109.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $32.36 / $109.65	Professional		$10.96	$32.36	$109.65
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $87.10 / $302.00	Facility		$47.86	$87.10	$302.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $25.70 / $72.44	Professional		$17.78	$25.70	$72.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $37.15 / $81.28	Facility		$14.79	$37.15	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $27.54 / $57.54	Professional		$16.60	$27.54	$57.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $22.39 / $35.48	Professional		$19.95	$22.39	$35.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $22.39 / $50.12	Professional		$17.78	$22.39	$50.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $35.48 / $67.61	Professional		$19.95	$35.48	$67.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $20.89 / $26.92	Professional		$10.23	$20.89	$26.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $26.92 / $66.07	Facility		$21.38	$26.92	$66.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $26.92 / $72.44	Professional		$18.62	$26.92	$72.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $30.20 / $50.12	Professional		$16.98	$30.20	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $12.30 / $22.39	Facility		$8.51	$12.30	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $13.49 / $46.77	Professional		$9.33	$13.49	$46.77