Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.59 / $272.31 / $1,006.58	Facility		$25.59	$272.31	$1,006.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.58 / $22.29 / $172.00	Professional		$11.58	$22.29	$172.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $19.25 / $58.09	Professional		$9.51	$19.25	$58.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.95 / $25.34 / $66.70	Facility		$20.95	$25.34	$66.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.10 / $28.62 / $147.13	Professional		$18.10	$28.62	$147.13
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.72 / $38.72 / $91.03	Professional		$12.72	$38.72	$91.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.75 / $52.22 / $106.96	Professional		$12.75	$52.22	$106.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $12.90 / $46.65 / $78.28	Professional		$12.90	$46.65	$78.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.72 / $46.69 / $93.60	Professional		$11.72	$46.69	$93.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $81.52 / $92.21 / $92.21	Facility		$81.52	$92.21	$92.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $187.24 / $324.58 / $421.73	Professional		$187.24	$324.58	$421.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $41.32	Professional		$32.34	$32.34	$41.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.64 / $45.04 / $84.83	Facility		$12.64	$45.04	$84.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.32 / $53.60 / $120.00	Professional		$13.32	$53.60	$120.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $39.71 / $39.71 / $169.54	Professional		$39.71	$39.71	$169.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.42 / $52.74 / $72.52	Professional		$10.42	$52.74	$72.52
United Facility/Professional Professional Modifier Low / Median / High Price $40.93 / $61.49 / $125.70	Professional		$40.93	$61.49	$125.70