Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $46.77 / $173.78	Facility		$5.62	$46.77	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $15.49 / $75.86	Professional		$11.48	$15.49	$75.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $10.23 / $12.02	Professional		$8.51	$10.23	$12.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $39.81 / $85.11	Facility		$9.77	$39.81	$85.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $14.79 / $47.86	Professional		$8.51	$14.79	$47.86
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $85.11 / $229.09	Facility		$38.90	$85.11	$229.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $19.50 / $50.12	Professional		$13.49	$19.50	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $28.84 / $63.10	Facility		$11.48	$28.84	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $17.38 / $28.18	Professional		$10.23	$17.38	$28.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $16.98 / $27.54	Professional		$14.45	$16.98	$27.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $16.98 / $38.02	Professional		$13.80	$16.98	$38.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $20.42 / $20.42	Professional		$10.23	$20.42	$20.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $20.42 / $48.98	Facility		$14.13	$20.42	$48.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $15.85 / $38.90	Professional		$10.23	$15.85	$38.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $17.38 / $28.84	Professional		$13.80	$17.38	$28.84
United Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $10.23 / $16.98	Facility		$7.76	$10.23	$16.98
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $10.23 / $33.88	Professional		$7.24	$10.23	$33.88