Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.64 / $131.94 / $311.00	Facility		$39.64	$131.94	$311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.14 / $31.28 / $52.64	Professional		$25.14	$31.28	$52.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $17.55 / $42.11	Professional		$17.55	$17.55	$42.11
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 $19.10 / $39.68 / $97.17	Professional		$19.10	$39.68	$97.17
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $56.30 / $98.10 / $433.18	Facility		$56.30	$98.10	$433.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $21.75 / $31.07 / $119.42	Professional		$21.75	$31.07	$119.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.78 / $60.67 / $122.17	Facility		$25.78	$60.67	$122.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $37.79 / $173.64	Professional		$22.91	$37.79	$173.64
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $31.19 / $35.86 / $47.37	Professional		$31.19	$35.86	$47.37
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $35.09 / $83.29	Professional		$35.09	$35.09	$83.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $40.35 / $77.20	Professional		$31.58	$40.35	$77.20
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
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.11 / $42.11 / $42.11	Professional		$42.11	$42.11	$42.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.61 / $45.62 / $103.63	Facility		$32.61	$45.62	$103.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.54 / $42.46 / $116.94	Professional		$24.54	$42.46	$116.94
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 / $34.93 / $53.02	Professional		$28.07	$34.93	$53.02
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $20.07 / $101.84	Professional		$14.74	$20.07	$101.84