Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.75 / $86.85 / $170.94	Facility		$19.75	$86.85	$170.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.56 / $15.34 / $30.68	Professional		$12.56	$15.34	$30.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.46 / $8.46 / $10.15	Professional		$8.46	$8.46	$10.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.53 / $40.79 / $293.00	Facility		$18.53	$40.79	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.35 / $13.32 / $43.37	Professional		$8.35	$13.32	$43.37
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $43.80 / $86.60 / $217.30	Facility		$43.80	$86.60	$217.30
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.49 / $14.98 / $58.48	Professional		$10.49	$14.98	$58.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.70 / $22.20 / $56.60	Facility		$11.70	$22.20	$56.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $20.41 / $30.12	Professional		$11.03	$20.41	$30.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $15.03 / $16.91 / $27.06	Professional		$15.03	$16.91	$27.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.53 / $16.91 / $37.72	Professional		$13.53	$16.91	$37.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $94.06 / $100.00	Facility		$66.00	$94.06	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.14 / $10.14 / $10.14	Professional		$10.14	$10.14	$10.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.03 / $19.75 / $49.60	Facility		$14.03	$19.75	$49.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.13 / $16.91 / $33.82	Professional		$11.13	$16.91	$33.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $59.35 / $59.35 / $59.35	Professional		$59.35	$59.35	$59.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $13.53 / $16.91 / $23.67	Professional		$13.53	$16.91	$23.67
United Facility/Professional Professional Modifier Low / Median / High Price $7.10 / $10.06 / $32.47	Professional		$7.10	$10.06	$32.47