Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $104.71 / $204.17	Facility		$30.20	$104.71	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $19.05 / $112.20	Professional		$12.88	$19.05	$112.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $28.84	Professional		$12.02	$12.02	$28.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $41.69 / $91.20	Facility		$10.23	$41.69	$91.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $15.14 / $52.48	Professional		$8.91	$15.14	$52.48
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $85.11 / $245.47	Facility		$40.74	$85.11	$245.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $20.89 / $52.48	Professional		$14.45	$20.89	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $30.20 / $66.07	Facility		$12.02	$30.20	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $18.20 / $30.20	Professional		$10.72	$18.20	$30.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $18.20 / $28.84	Professional		$16.22	$18.20	$28.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $18.20 / $40.74	Professional		$14.45	$18.20	$40.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $138.04 / $138.04	Facility		$87.10	$138.04	$138.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $21.88 / $21.88	Professional		$10.72	$21.88	$21.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $21.88 / $53.70	Facility		$15.14	$21.88	$53.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $16.98 / $41.69	Professional		$10.72	$16.98	$41.69
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $18.62 / $30.90	Professional		$14.45	$18.62	$30.90
United Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $10.72 / $18.20	Facility		$8.13	$10.72	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.72 / $36.31	Professional		$7.59	$10.72	$36.31