Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.40 / $91.67 / $242.57	Facility		$27.40	$91.67	$242.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.46 / $31.83 / $45.62	Professional		$20.46	$31.83	$45.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $17.55 / $17.55	Professional		$17.55	$17.55	$17.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.61 / $84.64 / $312.00	Facility		$37.61	$84.64	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.69 / $18.75 / $59.26	Professional		$17.69	$18.75	$59.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $52.28 / $92.60 / $316.86	Facility		$52.28	$92.60	$316.86
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15.97 / $22.81 / $68.72	Professional		$15.97	$22.81	$68.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.85 / $58.85 / $117.47	Facility		$23.85	$58.85	$117.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.77 / $30.54 / $68.08	Professional		$18.77	$30.54	$68.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $38.60 / $47.37	Professional		$35.09	$38.60	$47.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $41.41 / $79.52	Professional		$31.58	$41.41	$79.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $61.06 / $166.68 / $166.68	Facility		$61.06	$166.68	$166.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $175.45 / $175.45 / $263.18	Professional		$175.45	$175.45	$263.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.07 / $42.11 / $93.11	Facility		$28.07	$42.11	$93.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.25 / $38.60 / $68.08	Professional		$27.25	$38.60	$68.08
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $123.16 / $123.16 / $123.16	Professional		$123.16	$123.16	$123.16
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $28.07 / $35.79 / $59.65	Professional		$28.07	$35.79	$59.65
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $15.79 / $69.72	Professional		$14.74	$15.79	$69.72