Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.80 / $66.50 / $437.92	Facility		$4.80	$66.50	$437.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $7.33 / $97.02	Professional		$4.63	$7.33	$97.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $5.28 / $10.01	Professional		$4.46	$5.28	$10.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.31 / $11.27 / $29.65	Facility		$9.31	$11.27	$29.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.71 / $64.17 / $180.04	Professional		$9.71	$64.17	$180.04
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $44.53 / $108.62	Professional		$5.62	$44.53	$108.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.57 / $7.57 / $7.57	Facility		$7.57	$7.57	$7.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.59 / $50.59 / $50.59	Professional		$50.59	$50.59	$50.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $5.79 / $53.85 / $91.21	Professional		$5.79	$53.85	$91.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.56 / $53.50 / $106.46	Professional		$5.56	$53.50	$106.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $31.24 / $31.24 / $92.67	Facility		$31.24	$31.24	$92.67
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $205.83 / $360.95 / $482.03	Professional		$205.83	$360.95	$482.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.46 / $13.94 / $94.93	Facility		$5.46	$13.94	$94.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $50.59 / $134.66	Professional		$12.80	$50.59	$134.66
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $17.62 / $190.73	Professional		$17.62	$17.62	$190.73
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $5.24 / $61.47 / $84.52	Professional		$5.24	$61.47	$84.52
United Facility/Professional Professional Modifier Low / Median / High Price $44.80 / $63.51 / $160.91	Professional		$44.80	$63.51	$160.91