Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.01 / $96.16 / $180.75	Facility		$22.01	$96.16	$180.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.55 / $21.48 / $71.20	Professional		$12.55	$21.48	$71.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $19.30 / $22.11	Professional		$19.30	$19.30	$22.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.16 / $46.58 / $293.00	Facility		$21.16	$46.58	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.08 / $17.23 / $39.86	Professional		$9.08	$17.23	$39.86
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $45.10 / $87.40 / $236.44	Facility		$45.10	$87.40	$236.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $11.40 / $16.29 / $63.61	Professional		$11.40	$16.29	$63.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.90 / $25.35 / $64.63	Facility		$12.90	$25.35	$64.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $21.38 / $27.66	Professional		$10.16	$21.38	$27.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $21.24 / $99.00	Professional		$19.30	$21.24	$99.00
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $19.30 / $19.30	Professional		$19.30	$19.30	$19.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.45 / $19.30 / $42.48	Professional		$15.45	$19.30	$42.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $91.72 / $95.74	Facility		$85.00	$91.72	$95.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $27.57 / $84.63	Professional		$26.51	$27.57	$84.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.95 / $22.21 / $48.95	Facility		$17.95	$22.21	$48.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $19.30 / $26.58	Professional		$10.16	$19.30	$26.58
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $59.66 / $59.66 / $59.66	Professional		$59.66	$59.66	$59.66
United Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $10.95 / $36.88	Professional		$8.11	$10.95	$36.88