Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $85.11 / $199.53	Facility		$23.99	$85.11	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.14 / $95.50	Professional		$10.96	$15.14	$95.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $9.77 / $22.91	Professional		$7.24	$9.77	$22.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $33.88 / $72.44	Facility		$8.32	$33.88	$72.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $12.59 / $40.74	Professional		$7.24	$12.59	$40.74
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $81.28 / $194.98	Facility		$33.11	$81.28	$194.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $16.60 / $41.69	Professional		$11.48	$16.60	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $24.55 / $53.70	Facility		$9.77	$24.55	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $14.79 / $23.99	Professional		$8.71	$14.79	$23.99
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $14.45 / $23.44	Professional		$12.59	$14.45	$23.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $14.45 / $33.11	Professional		$11.75	$14.45	$33.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $17.38 / $17.38	Professional		$8.71	$17.38	$17.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $17.38 / $43.65	Facility		$12.02	$17.38	$43.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $13.80 / $33.11	Professional		$8.71	$13.80	$33.11
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $14.79 / $24.55	Professional		$11.75	$14.79	$24.55
United Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $8.71 / $14.45	Facility		$6.61	$8.71	$14.45
United Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $8.71 / $29.51	Professional		$6.17	$8.71	$29.51