Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $269.15	Facility		$33.11	$33.11	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.88 / $234.42	Professional		$25.70	$33.88	$234.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Professional		$38.02	$38.02	$38.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $32.36 / $138.04	Facility		$25.70	$32.36	$138.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $67.61	Professional		$33.11	$33.11	$67.61
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $107.15 / $144.54	Facility		$64.57	$107.15	$144.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $114.82 / $199.53	Professional		$67.61	$114.82	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $36.31	Facility		$34.67	$34.67	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $34.67	Professional		$25.70	$25.70	$34.67
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $40.74 / $75.86	Professional		$33.11	$40.74	$75.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $56.23 / $102.33	Professional		$40.74	$56.23	$102.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $457.09 / $457.09	Professional		$316.23	$457.09	$457.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $57.54 / $77.62	Facility		$19.05	$57.54	$77.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $60.26	Professional		$25.70	$25.70	$60.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $48.98 / $56.23	Professional		$33.11	$48.98	$56.23
United Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $27.54 / $75.86	Facility		$4.68	$27.54	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $30.90 / $61.66	Professional		$25.70	$30.90	$61.66