Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.49 / $90.35 / $169.90	Facility		$14.49	$90.35	$169.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.13 / $12.45 / $53.10	Professional		$9.13	$12.45	$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 / $42.00	Professional		$6.78	$10.81	$42.00
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 / $16.57 / $24.70	Professional		$8.91	$16.57	$24.70
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $12.21 / $13.73 / $21.97	Professional		$12.21	$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 $48.88 / $96.00 / $96.00	Facility		$48.88	$96.00	$96.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8.25 / $8.25 / $8.25	Professional		$8.25	$8.25	$8.25
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 / $16.42 / $41.57	Facility		$11.40	$16.42	$41.57
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 / $13.73 / $19.22	Professional		$10.98	$13.73	$19.22
United Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $8.24 / $27.63	Professional		$5.77	$8.24	$27.63