Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.18 / $93.46 / $196.90	Facility		$24.18	$93.46	$196.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $27.22 / $105.42	Professional		$23.00	$27.22	$105.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.90 / $24.81 / $51.26	Professional		$20.90	$24.81	$51.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.42 / $293.00 / $876.00	Facility		$27.42	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.41 / $34.35 / $71.43	Professional		$26.41	$34.35	$71.43
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $26.15 / $37.36 / $88.07	Professional		$26.15	$37.36	$88.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.32 / $28.32 / $28.32	Facility		$28.32	$28.32	$28.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.53 / $34.74 / $88.43	Professional		$26.53	$34.74	$88.43
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $21.55 / $28.34 / $38.26	Professional		$21.55	$28.34	$38.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.58 / $27.60 / $56.65	Professional		$22.58	$27.60	$56.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $57.75 / $85.00 / $124.07	Facility		$57.75	$85.00	$124.07
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $158.99 / $158.99 / $203.93	Professional		$158.99	$158.99	$203.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $35.56	Professional		$32.34	$32.34	$35.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.18 / $30.79 / $41.51	Facility		$23.18	$30.79	$41.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.69 / $36.61 / $69.22	Professional		$26.69	$36.61	$69.22
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $85.97 / $85.97 / $85.97	Professional		$85.97	$85.97	$85.97
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $22.90 / $28.01 / $36.63	Professional		$22.90	$28.01	$36.63
United Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $28.80 / $60.94	Professional		$20.72	$28.80	$60.94