Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.74 / $320.10 / $1,143.33	Facility		$35.74	$320.10	$1,143.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.06 / $20.37 / $72.00	Professional		$11.06	$20.37	$72.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.08 / $11.94 / $28.40	Professional		$10.08	$11.94	$28.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.17 / $24.40 / $64.23	Facility		$20.17	$24.40	$64.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.12 / $24.91 / $46.07	Professional		$13.12	$24.91	$46.07
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $9.23 / $13.02 / $31.75	Professional		$9.23	$13.02	$31.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.32 / $14.77 / $31.74	Professional		$11.32	$14.77	$31.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $15.14 / $19.86	Professional		$10.09	$15.14	$19.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.22 / $15.62 / $29.88	Professional		$12.22	$15.62	$29.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $22.25 / $90.00 / $90.00	Facility		$22.25	$90.00	$90.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $90.00 / $104.18	Professional		$90.00	$90.00	$104.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.28 / $16.09 / $23.61	Facility		$11.28	$16.09	$23.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.41 / $16.97 / $30.21	Professional		$11.41	$16.97	$30.21
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $35.50 / $35.50 / $35.50	Professional		$35.50	$35.50	$35.50
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $12.84 / $14.45 / $17.66	Professional		$12.84	$14.45	$17.66
United Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $13.26 / $27.48	Professional		$8.69	$13.26	$27.48