Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.73 / $59.71 / $161.16	Facility		$16.73	$59.71	$161.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.53 / $14.58 / $101.85	Professional		$10.53	$14.58	$101.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $9.50 / $9.50	Professional		$9.50	$9.50	$9.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.36 / $38.21 / $293.00	Facility		$17.36	$38.21	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.82 / $12.49 / $36.86	Professional		$7.82	$12.49	$36.86
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $41.03 / $85.46 / $203.69	Facility		$41.03	$85.46	$203.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $9.82 / $14.03 / $54.78	Professional		$9.82	$14.03	$54.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $20.81 / $53.05	Facility		$10.96	$20.81	$53.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $19.13 / $28.31	Professional		$10.40	$19.13	$28.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $14.08 / $15.84 / $25.34	Professional		$14.08	$15.84	$25.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.67 / $15.84 / $34.85	Professional		$12.67	$15.84	$34.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $81.84 / $102.80 / $114.75	Facility		$81.84	$102.80	$114.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.92 / $7.92 / $7.92	Professional		$7.92	$7.92	$7.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.14 / $19.01 / $45.28	Facility		$13.14	$19.01	$45.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.43 / $15.84 / $31.68	Professional		$10.43	$15.84	$31.68
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $55.59 / $55.59 / $55.59	Professional		$55.59	$55.59	$55.59
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $12.67 / $15.84 / $22.18	Professional		$12.67	$15.84	$22.18
United Facility/Professional Professional Modifier Low / Median / High Price $6.65 / $9.42 / $31.78	Professional		$6.65	$9.42	$31.78