Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $93.33 / $302.00	Facility		$28.18	$93.33	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.85 / $89.13	Professional		$10.00	$15.85	$89.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $9.12 / $21.38	Professional		$6.76	$9.12	$21.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $31.62 / $67.61	Facility		$7.76	$31.62	$67.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $11.75 / $38.02	Professional		$6.76	$11.75	$38.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $79.43 / $181.97	Facility		$30.90	$79.43	$181.97
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $15.49 / $38.90	Professional		$10.72	$15.49	$38.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $22.91 / $50.12	Facility		$9.12	$22.91	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $13.49 / $22.39	Professional		$8.13	$13.49	$22.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $13.49 / $21.88	Professional		$12.02	$13.49	$21.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $13.49 / $30.20	Professional		$10.72	$13.49	$30.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $109.65 / $109.65	Facility		$97.72	$109.65	$109.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $16.22 / $16.22	Professional		$8.13	$16.22	$16.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $16.22 / $43.65	Facility		$11.22	$16.22	$43.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $12.59 / $30.90	Professional		$8.13	$12.59	$30.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $13.80 / $22.91	Professional		$10.72	$13.80	$22.91
United Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $8.13 / $13.49	Facility		$6.03	$8.13	$13.49
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $8.13 / $26.92	Professional		$5.75	$8.13	$26.92