Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.53 / $69.14 / $247.13	Facility		$21.53	$69.14	$247.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $25.99 / $112.02	Professional		$18.01	$25.99	$112.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $26.45 / $38.07	Professional		$16.05	$26.45	$38.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.86 / $293.00 / $876.00	Facility		$20.86	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $32.47 / $78.63	Professional		$19.32	$32.47	$78.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $57.50 / $100.00 / $337.52	Facility		$57.50	$100.00	$337.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $21.68 / $47.09 / $89.33	Professional		$21.68	$47.09	$89.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.40 / $160.05 / $480.41	Facility		$131.40	$160.05	$480.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.80 / $33.90 / $95.13	Professional		$20.80	$33.90	$95.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $19.79 / $22.61 / $28.36	Professional		$19.79	$22.61	$28.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.75 / $20.58 / $38.28	Professional		$16.75	$20.58	$38.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $83.26 / $90.39 / $90.39	Facility		$83.26	$90.39	$90.39
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $201.00 / $271.23 / $371.24	Professional		$201.00	$271.23	$371.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.83 / $32.34 / $49.72	Professional		$29.83	$32.34	$49.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.14 / $24.90 / $69.34	Facility		$18.14	$24.90	$69.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.21 / $38.04 / $82.44	Professional		$22.21	$38.04	$82.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $61.49 / $61.49 / $62.69	Professional		$61.49	$61.49	$62.69
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $22.83 / $51.09	Professional		$16.98	$22.83	$51.09
United Facility/Professional Facility Modifier Low / Median / High Price $21.44 / $204.94 / $326.70	Facility		$21.44	$204.94	$326.70
United Facility/Professional Professional Modifier Low / Median / High Price $15.40 / $35.00 / $76.45	Professional		$15.40	$35.00	$76.45