Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $181.97	Facility		$20.89	$20.89	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $21.88 / $117.49	Professional		$16.98	$21.88	$117.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $31.62 / $33.88	Professional		$25.12	$31.62	$33.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $21.38 / $91.20	Facility		$16.98	$21.38	$91.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $22.91 / $48.98	Professional		$21.88	$22.91	$48.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $74.13 / $97.72	Facility		$43.65	$74.13	$97.72
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $79.43 / $134.90	Professional		$46.77	$79.43	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $30.20 / $30.20	Facility		$19.50	$30.20	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $30.20	Professional		$21.88	$21.88	$30.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $22.91 / $51.29	Professional		$18.62	$22.91	$51.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $38.90 / $74.13	Professional		$25.70	$38.90	$74.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $363.08 / $363.08	Professional		$234.42	$363.08	$363.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $38.02 / $53.70	Facility		$14.45	$38.02	$53.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $38.90	Professional		$21.88	$21.88	$38.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $27.54 / $38.90	Professional		$18.62	$27.54	$38.90
United Facility/Professional Facility Modifier Low / Median / High Price $2.95 / $17.78 / $48.98	Facility		$2.95	$17.78	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $19.95 / $42.66	Professional		$16.60	$19.95	$42.66