Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.25 / $104.36 / $272.17	Facility		$28.25	$104.36	$272.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $32.02 / $163.38	Professional		$20.89	$32.02	$163.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $18.59	Professional		$16.07	$16.07	$18.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.34 / $64.59 / $293.00	Facility		$29.34	$64.59	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $21.09 / $62.34	Professional		$13.22	$21.09	$62.34
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $92.60 / $340.81	Facility		$53.00	$92.60	$340.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $23.71 / $76.81	Professional		$16.60	$23.71	$76.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.54 / $35.17 / $89.66	Facility		$18.54	$35.17	$89.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $32.15 / $45.17	Professional		$17.39	$32.15	$45.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $23.80 / $26.78 / $42.85	Professional		$23.80	$26.78	$42.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.42 / $26.78 / $58.38	Professional		$21.42	$26.78	$58.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $87.95 / $127.38 / $127.38	Facility		$87.95	$127.38	$127.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $16.07	Professional		$16.07	$16.07	$16.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.21 / $29.46 / $67.90	Facility		$22.21	$29.46	$67.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.75 / $24.88 / $45.17	Professional		$19.75	$24.88	$45.17
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $93.99 / $93.99 / $93.99	Professional		$93.99	$93.99	$93.99
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $21.42 / $24.28 / $33.32	Professional		$21.42	$24.28	$33.32
United Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $15.93 / $51.44	Professional		$11.25	$15.93	$51.44