Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.50 / $91.55 / $327.60	Facility		$10.50	$91.55	$327.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.07 / $30.71 / $59.04	Professional		$26.07	$30.71	$59.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $16.93 / $20.32	Professional		$16.93	$16.93	$20.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.10 / $81.67 / $312.00	Facility		$37.10	$81.67	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.72 / $26.68 / $78.81	Professional		$16.72	$26.68	$78.81
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $56.80 / $97.40 / $429.57	Facility		$56.80	$97.40	$429.57
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $29.98 / $97.17	Professional		$20.99	$29.98	$97.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $44.46 / $113.35	Facility		$23.44	$44.46	$113.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.07 / $40.15 / $56.25	Professional		$22.07	$40.15	$56.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $30.10 / $33.86 / $54.18	Professional		$30.10	$33.86	$54.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.09 / $33.86 / $73.81	Professional		$27.09	$33.86	$73.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $161.58 / $161.58	Facility		$80.00	$161.58	$161.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.31 / $20.31 / $20.31	Professional		$20.31	$20.31	$20.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.09 / $39.18 / $97.13	Facility		$27.09	$39.18	$97.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.07 / $33.86 / $67.72	Professional		$22.07	$33.86	$67.72
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $118.84 / $118.84 / $118.84	Professional		$118.84	$118.84	$118.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $27.09 / $30.70 / $42.14	Professional		$27.09	$30.70	$42.14
United Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $20.14 / $65.48	Professional		$14.22	$20.14	$65.48