Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.44 / $51.62 / $243.56	Facility		$11.44	$51.62	$243.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.78 / $23.21 / $30.87	Professional		$16.78	$23.21	$30.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.91 / $15.49 / $15.49	Professional		$12.91	$15.49	$15.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.28 / $62.25 / $293.00	Facility		$28.28	$62.25	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $20.32 / $52.78	Professional		$12.74	$20.32	$52.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $92.60 / $328.51	Facility		$53.00	$92.60	$328.51
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $22.85 / $74.06	Professional		$16.00	$22.85	$74.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.87 / $33.90 / $86.42	Facility		$17.87	$33.90	$86.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.76 / $31.25 / $45.78	Professional		$16.76	$31.25	$45.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $22.94 / $25.81 / $41.30	Professional		$22.94	$25.81	$41.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $25.81 / $58.49	Professional		$20.65	$25.81	$58.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $189.39 / $189.39	Facility		$120.00	$189.39	$189.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.48 / $15.48 / $15.48	Professional		$15.48	$15.48	$15.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.36 / $30.15 / $75.48	Facility		$19.36	$30.15	$75.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.16 / $25.81 / $51.62	Professional		$17.16	$25.81	$51.62
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $90.59 / $90.59 / $90.59	Professional		$90.59	$90.59	$90.59
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $25.81 / $36.13	Professional		$20.65	$25.81	$36.13
United Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $15.49 / $49.90	Professional		$10.84	$15.49	$49.90