Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.96 / $169.82	Facility		$10.00	$10.96	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $25.12 / $151.36	Professional		$12.02	$25.12	$151.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $18.62 / $46.77	Facility		$14.79	$18.62	$46.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $43.65	Professional		$19.95	$19.95	$43.65
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $57.54 / $83.18	Facility		$41.69	$57.54	$83.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $74.13 / $125.89	Professional		$43.65	$74.13	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $26.30 / $27.54	Facility		$22.39	$26.30	$27.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $22.39 / $22.39	Professional		$16.22	$22.39	$22.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $44.67 / $53.70	Professional		$32.36	$44.67	$53.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $36.31 / $70.79	Professional		$23.99	$36.31	$70.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $295.12 / $295.12	Professional		$194.98	$295.12	$295.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $38.02 / $52.48	Facility		$11.22	$38.02	$52.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $22.39 / $29.51	Professional		$16.22	$22.39	$29.51
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $36.31	Professional		$32.36	$32.36	$36.31
United Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $15.14 / $17.78	Facility		$2.75	$15.14	$17.78
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $17.78 / $39.81	Professional		$15.14	$17.78	$39.81