Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.41 / $52.50 / $151.56	Facility		$19.41	$52.50	$151.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $17.94 / $64.92	Professional		$16.82	$17.94	$64.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.79 / $11.79 / $14.14	Professional		$11.79	$11.79	$14.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.83 / $56.85 / $293.00	Facility		$25.83	$56.85	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $13.74 / $42.52	Professional		$9.77	$13.74	$42.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $44.60 / $86.00 / $213.62	Facility		$44.60	$86.00	$213.62
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $14.71 / $51.18	Professional		$10.30	$14.71	$51.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.32 / $30.95 / $77.14	Facility		$15.32	$30.95	$77.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $27.26 / $40.82	Professional		$13.79	$27.26	$40.82
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $18.09 / $23.57 / $37.71	Professional		$18.09	$23.57	$37.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.86 / $23.57 / $52.58	Professional		$18.86	$23.57	$52.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $57.75 / $111.96 / $550.79	Facility		$57.75	$111.96	$550.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.14 / $14.14 / $14.14	Professional		$14.14	$14.14	$14.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.41 / $24.21 / $56.39	Facility		$16.41	$24.21	$56.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.58 / $23.57 / $42.91	Professional		$14.58	$23.57	$42.91
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $82.73 / $82.73 / $82.73	Professional		$82.73	$82.73	$82.73
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $18.86 / $23.57 / $33.00	Professional		$18.86	$23.57	$33.00
United Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $11.77 / $39.54	Professional		$9.90	$11.77	$39.54