Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $114.82 / $223.87	Facility		$44.67	$114.82	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $23.44 / $109.65	Professional		$16.98	$23.44	$109.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $52.48 / $114.82	Facility		$11.48	$52.48	$114.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $28.84 / $60.26	Professional		$15.85	$28.84	$60.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $87.10 / $269.15	Facility		$46.77	$87.10	$269.15
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $22.39 / $61.66	Professional		$15.85	$22.39	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $39.81 / $83.18	Facility		$17.38	$39.81	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $18.62 / $66.07	Professional		$13.49	$18.62	$66.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $22.91 / $30.90	Professional		$16.98	$22.91	$30.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.12 / $39.81	Professional		$20.42	$25.12	$39.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $177.83	Professional		$169.82	$169.82	$177.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Professional		$27.54	$27.54	$27.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $33.11 / $66.07	Facility		$19.50	$33.11	$66.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $24.55 / $56.23	Professional		$13.49	$24.55	$56.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.70 / $257.04	Professional		$18.20	$25.70	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $22.91 / $22.91	Facility		$9.55	$22.91	$22.91
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.02 / $43.65	Professional		$9.55	$12.02	$43.65