Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $19.05 / $309.03	Facility		$16.98	$19.05	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $40.74 / $251.19	Professional		$19.05	$40.74	$251.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $56.23	Professional		$39.81	$39.81	$56.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $39.81 / $100.00	Facility		$31.62	$39.81	$100.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $75.86	Professional		$41.69	$41.69	$75.86
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $95.50 / $138.04	Facility		$69.18	$95.50	$138.04
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $123.03 / $213.80	Professional		$72.44	$123.03	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $48.98	Facility		$39.81	$39.81	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $39.81	Professional		$33.88	$33.88	$39.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $74.13 / $91.20	Professional		$53.70	$74.13	$91.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $60.26 / $117.49	Professional		$43.65	$60.26	$117.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $489.78 / $489.78	Professional		$323.59	$489.78	$489.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $63.10 / $87.10	Facility		$19.05	$63.10	$87.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $64.57	Professional		$33.88	$33.88	$64.57
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $138.04 / $338.84	Professional		$60.26	$138.04	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $25.12 / $41.69	Facility		$4.57	$25.12	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $29.51 / $66.07	Professional		$25.12	$29.51	$66.07