Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $112.20 / $223.87	Facility		$42.66	$112.20	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $22.91 / $89.13	Professional		$15.14	$22.91	$89.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $46.77 / $100.00	Facility		$11.48	$46.77	$100.00
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 $44.67 / $87.10 / $269.15	Facility		$44.67	$87.10	$269.15
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $22.39 / $57.54	Professional		$15.85	$22.39	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $35.48 / $83.18	Facility		$15.14	$35.48	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $18.62 / $63.10	Professional		$13.18	$18.62	$63.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $20.42 / $26.92	Professional		$17.78	$20.42	$26.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.88 / $35.48	Professional		$18.20	$21.88	$35.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $165.96	Professional		$154.88	$154.88	$165.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Professional		$23.99	$23.99	$23.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $31.62 / $60.26	Facility		$17.38	$31.62	$60.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $21.88 / $56.23	Professional		$13.18	$21.88	$56.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $22.39 / $269.15	Professional		$16.22	$22.39	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $19.95 / $19.95	Facility		$8.51	$19.95	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $12.02 / $39.81	Professional		$8.51	$12.02	$39.81