Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.55 / $98.25 / $273.75	Facility		$17.55	$98.25	$273.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.06 / $15.16 / $27.55	Professional		$12.06	$15.16	$27.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.75 / $10.11 / $11.70	Professional		$7.75	$10.11	$11.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.46 / $40.64 / $293.00	Facility		$18.46	$40.64	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $13.27 / $39.21	Professional		$8.32	$13.27	$39.21
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $43.64 / $86.60 / $216.57	Facility		$43.64	$86.60	$216.57
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.44 / $14.92 / $58.22	Professional		$10.44	$14.92	$58.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.66 / $22.12 / $56.39	Facility		$11.66	$22.12	$56.39
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 $14.36 / $16.85 / $26.96	Professional		$14.36	$16.85	$26.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.48 / $16.85 / $37.59	Professional		$13.48	$16.85	$37.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.69 / $89.00 / $89.00	Facility		$54.69	$89.00	$89.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $10.11 / $10.11	Professional		$10.11	$10.11	$10.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.98 / $20.14 / $48.15	Facility		$13.98	$20.14	$48.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.13 / $16.85 / $33.70	Professional		$11.13	$16.85	$33.70
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $59.14 / $59.14 / $59.14	Professional		$59.14	$59.14	$59.14
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $13.48 / $16.85 / $23.59	Professional		$13.48	$16.85	$23.59
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.02 / $32.36	Professional		$7.08	$10.02	$32.36