Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $354.81 / $954.99	Facility		$27.54	$354.81	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $28.18 / $79.43	Professional		$10.96	$28.18	$79.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.49 / $25.70	Professional		$10.96	$13.49	$25.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $26.30 / $66.07	Facility		$20.89	$26.30	$66.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $25.70 / $40.74	Professional		$19.50	$25.70	$40.74
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $14.79 / $30.90	Professional		$11.75	$14.79	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $14.79 / $28.18	Professional		$11.22	$14.79	$28.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $20.89	Professional		$10.00	$12.02	$20.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $15.85 / $28.84	Professional		$12.59	$15.85	$28.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $104.71 / $104.71	Professional		$89.13	$104.71	$104.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Professional		$15.85	$15.85	$15.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $16.60 / $24.55	Facility		$11.22	$16.60	$24.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $15.85 / $28.84	Professional		$11.48	$15.85	$28.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.13 / $18.20	Professional		$10.00	$14.13	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $12.88 / $25.70	Professional		$8.71	$12.88	$25.70