Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.71 / $72.37 / $211.38	Facility		$19.71	$72.37	$211.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.93 / $26.23 / $85.86	Professional		$13.93	$26.23	$85.86
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $20.07 / $23.02 / $87.00	Professional	25	$20.07	$23.02	$87.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.36 / $14.68 / $39.29	Professional		$12.36	$14.68	$39.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.14 / $293.00 / $876.00	Facility		$22.14	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.44 / $35.54 / $68.54	Professional		$17.44	$35.54	$68.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $49.87 / $92.60 / $206.39	Facility		$49.87	$92.60	$206.39
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $31.00 / $70.97	Professional		$21.70	$31.00	$70.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.46 / $25.46 / $25.46	Facility		$25.46	$25.46	$25.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $26.48 / $58.23	Professional		$17.55	$26.48	$58.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $17.29 / $27.55 / $43.05	Professional		$17.29	$27.55	$43.05
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $15.02 / $15.02 / $19.02	Professional		$15.02	$15.02	$19.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $16.78 / $46.19	Professional		$13.18	$16.78	$46.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $31.28 / $65.97 / $101.68	Facility		$31.28	$65.97	$101.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $77.25 / $358.00 / $358.00	Professional		$77.25	$358.00	$358.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.20 / $32.34 / $32.34	Professional		$20.20	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.10 / $19.82 / $46.80	Facility		$14.10	$19.82	$46.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.45 / $26.69 / $45.76	Professional		$17.45	$26.69	$45.76
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $55.73 / $55.73 / $55.73	Professional		$55.73	$55.73	$55.73
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $15.71 / $43.05 / $63.52	Professional		$15.71	$43.05	$63.52
United Facility/Professional Facility Modifier Low / Median / High Price $64.80 / $64.80 / $64.80	Facility		$64.80	$64.80	$64.80
United Facility/Professional Professional Modifier Low / Median / High Price $13.16 / $19.98 / $42.66	Professional		$13.16	$19.98	$42.66