Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.84 / $89.14 / $203.94	Facility		$20.84	$89.14	$203.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.13 / $17.89 / $34.42	Professional		$13.13	$17.89	$34.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $9.86 / $9.86	Professional		$9.86	$9.86	$9.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.63 / $47.61 / $293.00	Facility		$21.63	$47.61	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.75 / $15.55 / $42.79	Professional		$9.75	$15.55	$42.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $45.91 / $87.80 / $251.34	Facility		$45.91	$87.80	$251.34
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.24 / $17.48 / $68.27	Professional		$12.24	$17.48	$68.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.66 / $25.92 / $66.06	Facility		$13.66	$25.92	$66.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.94 / $23.56 / $32.85	Professional		$12.94	$23.56	$32.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $19.73 / $31.58	Professional		$17.55	$19.73	$31.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.79 / $19.73 / $43.03	Professional		$15.79	$19.73	$43.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $69.40 / $94.35 / $100.00	Facility		$69.40	$94.35	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.84 / $11.84 / $11.84	Professional		$11.84	$11.84	$11.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.38 / $22.84 / $49.60	Facility		$16.38	$22.84	$49.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.94 / $19.73 / $39.47	Professional		$12.94	$19.73	$39.47
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $69.28 / $69.28 / $69.28	Professional		$69.28	$69.28	$69.28
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $15.79 / $19.73 / $27.64	Professional		$15.79	$19.73	$27.64
United Facility/Professional Professional Modifier Low / Median / High Price $8.28 / $11.74 / $37.92	Professional		$8.28	$11.74	$37.92