Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.57 / $99.99 / $284.27	Facility		$21.57	$99.99	$284.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.24 / $12.34 / $24.30	Professional		$6.24	$12.34	$24.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.84 / $8.21 / $9.50	Professional		$6.84	$8.21	$9.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.99 / $33.00 / $293.00	Facility		$14.99	$33.00	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.75 / $10.76 / $31.81	Professional		$6.75	$10.76	$31.81
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $35.43 / $83.81 / $175.63	Facility		$35.43	$83.81	$175.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $8.48 / $12.11 / $27.29	Professional		$8.48	$12.11	$27.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.46 / $17.96 / $45.78	Facility		$9.46	$17.96	$45.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $16.52 / $24.09	Professional		$8.91	$16.52	$24.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $12.16 / $13.68 / $21.89	Professional		$12.16	$13.68	$21.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.94 / $13.68 / $30.51	Professional		$10.94	$13.68	$30.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $64.98 / $100.00	Facility		$50.00	$64.98	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15.59 / $19.34 / $26.89	Professional		$15.59	$19.34	$26.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.21 / $8.21 / $8.21	Professional		$8.21	$8.21	$8.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.31 / $16.21 / $39.90	Facility		$11.31	$16.21	$39.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.03 / $13.68 / $27.36	Professional		$9.03	$13.68	$27.36
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $48.01 / $48.01 / $48.01	Professional		$48.01	$48.01	$48.01
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.94 / $13.68 / $19.14	Professional		$10.94	$13.68	$19.14
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $8.13 / $26.42	Professional		$5.75	$8.13	$26.42