Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.83 / $13.62 / $325.10	Professional		$9.83	$13.62	$325.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.91 / $81.91 / $81.91	Professional		$81.91	$81.91	$81.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.09 / $55.40 / $80.76	Facility		$47.09	$55.40	$80.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.03 / $16.14 / $52.58	Professional		$10.03	$16.14	$52.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $7.06 / $10.08 / $35.09	Professional		$7.06	$10.08	$35.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.50 / $120.50 / $120.50	Facility		$120.50	$120.50	$120.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.39 / $23.47 / $75.29	Professional		$8.39	$23.47	$75.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $50.56 / $68.26	Professional		$12.39	$50.56	$68.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.50 / $55.62 / $88.48	Professional		$45.50	$55.62	$88.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.90 / $240.16 / $240.16	Facility		$80.90	$240.16	$240.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $252.80 / $252.80 / $379.20	Professional		$252.80	$252.80	$379.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.67 / $60.67 / $60.67	Professional		$60.67	$60.67	$60.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.92 / $50.56 / $90.00	Facility		$19.92	$50.56	$90.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $53.88 / $75.84	Professional		$8.61	$53.88	$75.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $177.46 / $177.46 / $177.46	Professional		$177.46	$177.46	$177.46
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $40.45 / $40.45 / $185.85	Professional		$40.45	$40.45	$185.85
United Facility/Professional Professional Modifier Low / Median / High Price $9.53 / $30.34 / $124.11	Professional		$9.53	$30.34	$124.11