Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.04 / $88.28 / $139.57	Facility		$16.04	$88.28	$139.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.28 / $12.25 / $53.10	Professional		$7.28	$12.25	$53.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $8.24 / $8.24	Professional		$8.24	$8.24	$8.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.04 / $33.11 / $293.00	Facility		$15.04	$33.11	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.78 / $10.81 / $32.15	Professional		$6.78	$10.81	$32.15
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $35.56 / $84.16 / $176.36	Facility		$35.56	$84.16	$176.36
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $12.16 / $65.90	Professional		$8.51	$12.16	$65.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.50 / $18.02 / $45.94	Facility		$9.50	$18.02	$45.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $16.22 / $21.76	Professional		$8.91	$16.22	$21.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $11.99 / $13.73 / $21.97	Professional		$11.99	$13.73	$21.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.98 / $13.73 / $31.11	Professional		$10.98	$13.73	$31.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $58.34 / $83.93 / $83.93	Facility		$58.34	$83.93	$83.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $8.24 / $8.24	Professional		$8.24	$8.24	$8.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.40 / $15.10 / $35.36	Facility		$11.40	$15.10	$35.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.03 / $13.73 / $27.46	Professional		$9.03	$13.73	$27.46
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $48.19 / $48.19 / $48.19	Professional		$48.19	$48.19	$48.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.98 / $12.36 / $16.79	Professional		$10.98	$12.36	$16.79
United Facility/Professional Facility Modifier Low / Median / High Price $5.77 / $13.73 / $13.73	Facility		$5.77	$13.73	$13.73
United Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $8.17 / $26.69	Professional		$5.77	$8.17	$26.69