Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $66.07 / $154.88	Facility		$20.89	$66.07	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $15.14 / $114.82	Professional		$12.30	$15.14	$114.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $11.22	Professional		$11.22	$11.22	$11.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $43.65 / $93.33	Facility		$8.71	$43.65	$93.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $13.80 / $38.90	Professional		$7.41	$13.80	$38.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $81.28 / $186.21	Facility		$37.15	$81.28	$186.21
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $18.62 / $47.86	Professional		$16.22	$18.62	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $31.62 / $63.10	Facility		$12.30	$31.62	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $16.22 / $28.18	Professional		$9.12	$16.22	$28.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $18.62 / $29.51	Professional		$12.59	$18.62	$29.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $18.62 / $42.66	Professional		$14.79	$18.62	$42.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $22.39 / $22.39	Professional		$11.22	$22.39	$22.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $21.38 / $52.48	Facility		$13.49	$21.38	$52.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $16.22 / $37.15	Professional		$10.00	$16.22	$37.15
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $19.05 / $31.62	Professional		$14.79	$19.05	$31.62
United Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $10.23 / $18.62	Facility		$7.76	$10.23	$18.62
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $11.22 / $33.11	Professional		$7.76	$11.22	$33.11