Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $28.18 / $173.78	Facility		$10.00	$28.18	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $22.91 / $43.65	Professional		$12.02	$22.91	$43.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.91 / $2.40 / $10.96	Facility		$1.91	$2.40	$10.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.50 / $38.90	Professional		$19.05	$19.50	$38.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $69.18 / $93.33	Facility		$41.69	$69.18	$93.33
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $67.61 / $123.03	Professional		$38.02	$67.61	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $29.51	Facility		$25.12	$25.12	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $25.12	Professional		$21.38	$21.38	$25.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $39.81 / $52.48	Professional		$33.11	$39.81	$52.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $40.74 / $70.79	Professional		$28.18	$40.74	$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 $208.93 / $281.84 / $338.84	Professional		$208.93	$281.84	$338.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $3.31 / $3.31	Professional		$3.31	$3.31	$3.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $40.74 / $79.43	Facility		$23.44	$40.74	$79.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $40.74	Professional		$21.38	$21.38	$40.74
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 / $36.31 / $56.23	Professional		$32.36	$36.31	$56.23
United Facility/Professional Facility Modifier Low / Median / High Price $1.07 / $8.32 / $22.39	Facility		$1.07	$8.32	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $17.78 / $37.15	Professional		$14.13	$17.78	$37.15