Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.85 / $234.42	Facility		$15.14	$15.85	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $31.62 / $107.15	Professional		$16.22	$31.62	$107.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $43.65 / $54.95	Professional		$38.02	$43.65	$54.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $34.67 / $112.20	Facility		$27.54	$34.67	$112.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $34.67 / $66.07	Professional		$30.90	$34.67	$66.07
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $93.33 / $125.89	Facility		$56.23	$93.33	$125.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $102.33 / $173.78	Professional		$60.26	$102.33	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $36.31	Professional		$26.30	$26.30	$36.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $34.67 / $66.07	Professional		$28.84	$34.67	$66.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $52.48 / $91.20	Professional		$35.48	$52.48	$91.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $407.38 / $407.38	Professional		$93.33	$407.38	$407.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $79.43	Professional		$32.36	$33.11	$79.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $54.95 / $72.44	Facility		$15.85	$54.95	$72.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $52.48	Professional		$26.30	$26.30	$52.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $43.65 / $50.12	Professional		$28.84	$43.65	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $23.99 / $38.02	Facility		$3.98	$23.99	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $26.92 / $54.95	Professional		$22.39	$26.92	$54.95