Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $128.82 / $2,754.23	Facility		$7.94	$128.82	$2,754.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $18.20 / $81.28	Professional		$8.71	$18.20	$81.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $12.30 / $30.90	Facility		$9.77	$12.30	$30.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $34.67	Professional		$12.88	$12.88	$34.67
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $42.66 / $61.66	Facility		$30.90	$42.66	$61.66
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $54.95 / $104.71	Professional		$33.88	$54.95	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $33.11 / $40.74	Professional		$30.20	$33.11	$40.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $30.90 / $69.18	Professional		$15.14	$30.90	$69.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $218.78 / $218.78	Professional		$147.91	$218.78	$218.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $30.20 / $41.69	Facility		$18.20	$30.20	$41.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $28.84	Professional		$15.14	$15.14	$28.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $10.47 / $25.12	Professional		$4.90	$10.47	$25.12
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $13.18 / $28.84	Professional		$11.22	$13.18	$28.84