Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.97 / $99.73 / $204.15	Facility		$21.97	$99.73	$204.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.21 / $26.89 / $98.00	Professional		$21.21	$26.89	$98.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.60 / $23.73 / $47.50	Professional		$17.60	$23.73	$47.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.82 / $293.00 / $876.00	Facility		$28.82	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.17 / $42.59 / $77.09	Professional		$23.17	$42.59	$77.09
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $24.41 / $55.40 / $79.13	Facility		$24.41	$55.40	$79.13
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $19.43 / $27.76 / $68.63	Professional		$19.43	$27.76	$68.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.94 / $19,568.00 / $22,828.00	Facility		$23.94	$19,568.00	$22,828.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.93 / $30.12 / $72.89	Professional		$22.93	$30.12	$72.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $23.32 / $27.98 / $37.39	Professional		$23.32	$27.98	$37.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.63 / $22.77 / $56.00	Professional		$18.63	$22.77	$56.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $49.44 / $84.57 / $102.46	Facility		$49.44	$84.57	$102.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $250.96 / $250.96 / $250.96	Professional		$250.96	$250.96	$250.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.81 / $32.34 / $32.34	Professional		$29.81	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.10 / $26.51 / $60.00	Facility		$20.10	$26.51	$60.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.17 / $31.35 / $59.01	Professional		$23.17	$31.35	$59.01
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $72.36 / $72.36 / $72.36	Professional		$72.36	$72.36	$72.36
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $21.21 / $39.79 / $58.22	Professional		$21.21	$39.79	$58.22
United Facility/Professional Facility Modifier Low / Median / High Price $20.62 / $20.62 / $97.20	Facility		$20.62	$20.62	$97.20
United Facility/Professional Professional Modifier Low / Median / High Price $17.44 / $24.66 / $56.08	Professional		$17.44	$24.66	$56.08