Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.75 / $74.62 / $238.84	Facility		$18.75	$74.62	$238.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.35 / $23.64 / $44.34	Professional		$19.35	$23.64	$44.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $18.11 / $18.11	Professional		$18.11	$18.11	$18.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.56 / $62.88 / $293.00	Facility		$28.56	$62.88	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.87 / $20.53 / $53.44	Professional		$12.87	$20.53	$53.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $92.60 / $331.79	Facility		$53.00	$92.60	$331.79
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $16.16 / $23.08 / $74.77	Professional		$16.16	$23.08	$74.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $34.24 / $87.29	Facility		$18.05	$34.24	$87.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $31.57 / $46.38	Professional		$16.98	$31.57	$46.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $21.29 / $26.07 / $41.71	Professional		$21.29	$26.07	$41.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.86 / $26.07 / $56.83	Professional		$20.86	$26.07	$56.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $63.87 / $125.01 / $125.01	Facility		$63.87	$125.01	$125.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.64 / $15.64 / $15.64	Professional		$15.64	$15.64	$15.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.63 / $30.17 / $65.18	Facility		$21.63	$30.17	$65.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $26.07 / $52.14	Professional		$17.39	$26.07	$52.14
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $91.50 / $91.50 / $91.50	Professional		$91.50	$91.50	$91.50
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $20.86 / $26.07 / $36.50	Professional		$20.86	$26.07	$36.50
United Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $15.64 / $50.40	Professional		$10.95	$15.64	$50.40