Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.25 / $42.82 / $175.55	Facility		$20.25	$42.82	$175.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.89 / $19.27 / $35.01	Professional		$15.89	$19.27	$35.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.71 / $10.71 / $12.85	Professional		$10.71	$10.71	$12.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.46 / $51.64 / $293.00	Facility		$23.46	$51.64	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.57 / $16.87 / $48.40	Professional		$10.57	$16.87	$48.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $48.22 / $89.10 / $272.57	Facility		$48.22	$89.10	$272.57
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $13.27 / $18.95 / $61.43	Professional		$13.27	$18.95	$61.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.83 / $28.12 / $71.69	Facility		$14.83	$28.12	$71.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.01 / $26.02 / $37.95	Professional		$14.01	$26.02	$37.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $19.03 / $21.41 / $34.26	Professional		$19.03	$21.41	$34.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.13 / $21.41 / $48.52	Professional		$17.13	$21.41	$48.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $70.43 / $235.62 / $235.62	Facility		$70.43	$235.62	$235.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.84 / $12.84 / $12.84	Professional		$12.84	$12.84	$12.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.76 / $25.48 / $63.75	Facility		$17.76	$25.48	$63.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.14 / $21.41 / $42.82	Professional		$14.14	$21.41	$42.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $75.14 / $75.14 / $75.14	Professional		$75.14	$75.14	$75.14
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $17.13 / $21.41 / $29.97	Professional		$17.13	$21.41	$29.97
United Facility/Professional Professional Modifier Low / Median / High Price $8.99 / $12.74 / $41.40	Professional		$8.99	$12.74	$41.40