Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.85 / $88.50 / $219.74	Facility		$27.85	$88.50	$219.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $27.85 / $85.20	Professional		$20.00	$27.85	$85.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.73 / $15.73 / $15.73	Professional		$15.73	$15.73	$15.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.90 / $79.04 / $312.00	Facility		$35.90	$79.04	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.11 / $25.69 / $49.15	Professional		$13.11	$25.69	$49.15
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $54.07 / $95.50 / $308.37	Facility		$54.07	$95.50	$308.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $14.92 / $21.32 / $84.42	Professional		$14.92	$21.32	$84.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.90 / $46.14 / $109.70	Facility		$22.90	$46.14	$109.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.37 / $37.58 / $50.08	Professional		$17.37	$37.58	$50.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $26.21 / $32.77 / $52.43	Professional		$26.21	$32.77	$52.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.22 / $32.77 / $63.90	Professional		$26.22	$32.77	$63.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $52.43 / $155.66 / $155.66	Facility		$52.43	$155.66	$155.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.66 / $19.66 / $19.66	Professional		$19.66	$19.66	$19.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.94 / $32.77 / $78.02	Facility		$22.94	$32.77	$78.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $31.13 / $39.32	Professional		$18.05	$31.13	$39.32
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $115.02 / $115.02 / $115.02	Professional		$115.02	$115.02	$115.02
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $26.22 / $29.36 / $36.69	Professional		$26.22	$29.36	$36.69
United Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $13.76 / $52.10	Professional		$13.76	$13.76	$52.10