Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $87.89 / $307.50	Facility		$10.00	$87.89	$307.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.08 / $15.35 / $42.03	Professional		$13.08	$15.35	$42.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.89 / $12.65 / $13.18	Professional		$7.89	$12.65	$13.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.11 / $50.87 / $293.00	Facility		$23.11	$50.87	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $11.43 / $32.02	Professional		$8.44	$11.43	$32.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $41.30 / $85.00 / $192.10	Facility		$41.30	$85.00	$192.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $12.48 / $45.86	Professional		$8.74	$12.48	$45.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.71 / $27.69 / $69.03	Facility		$13.71	$27.69	$69.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.42 / $24.37 / $32.01	Professional		$11.42	$24.37	$32.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $13.15 / $21.09 / $33.74	Professional		$13.15	$21.09	$33.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.87 / $21.09 / $47.04	Professional		$16.87	$21.09	$47.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $100.18 / $100.18	Facility		$50.00	$100.18	$100.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $24.13 / $37.11	Professional		$11.00	$24.13	$37.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.65 / $12.65 / $12.65	Professional		$12.65	$12.65	$12.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.78 / $21.09 / $50.21	Facility		$13.78	$21.09	$50.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.63 / $20.04 / $33.79	Professional		$11.63	$20.04	$33.79
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $74.02 / $74.02 / $74.02	Professional		$74.02	$74.02	$74.02
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $16.87 / $21.09 / $29.53	Professional		$16.87	$21.09	$29.53
United Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $9.32 / $42.87	Professional		$8.86	$9.32	$42.87