Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.38 / $163.69 / $240.68	Facility		$24.38	$163.69	$240.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.78 / $27.00 / $97.60	Professional		$21.78	$27.00	$97.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.68 / $17.61 / $22.49	Professional		$14.68	$17.61	$22.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.89 / $37.19 / $293.00	Facility		$16.89	$37.19	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.49 / $17.89 / $125.63	Professional		$14.49	$17.89	$125.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $94.36 / $373.51	Facility		$55.00	$94.36	$373.51
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $18.19 / $25.98 / $84.20	Professional		$18.19	$25.98	$84.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.30 / $38.54 / $98.26	Facility		$20.30	$38.54	$98.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.57 / $33.86 / $64.52	Professional		$22.57	$33.86	$64.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $26.09 / $29.35 / $46.96	Professional		$26.09	$29.35	$46.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.48 / $29.35 / $66.51	Professional		$23.48	$29.35	$66.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $215.25 / $215.25	Facility		$80.00	$215.25	$215.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.33 / $10.33 / $17.61	Professional		$10.33	$10.33	$17.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.28 / $33.96 / $75.63	Facility		$27.28	$33.96	$75.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.57 / $32.20 / $63.27	Professional		$22.57	$32.20	$63.27
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $103.01 / $103.01 / $103.01	Professional		$103.01	$103.01	$103.01
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $16.21 / $26.09 / $36.53	Professional		$16.21	$26.09	$36.53
United Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $17.46 / $56.75	Professional		$12.33	$17.46	$56.75