Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.32 / $20.64 / $119.88	Facility		$10.32	$20.64	$119.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.57 / $11.24 / $15.42	Professional		$9.57	$11.24	$15.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.45 / $7.74 / $7.74	Professional		$6.45	$7.74	$7.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $31.11 / $293.00	Facility		$14.13	$31.11	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.37 / $10.16 / $33.10	Professional		$6.37	$10.16	$33.10
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $33.40 / $80.14 / $165.69	Facility		$33.40	$80.14	$165.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $7.99 / $11.41 / $61.92	Professional		$7.99	$11.41	$61.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $16.95 / $43.21	Facility		$8.91	$16.95	$43.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.49 / $15.45 / $21.35	Professional		$8.49	$15.45	$21.35
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $11.46 / $12.90 / $20.64	Professional		$11.46	$12.90	$20.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.32 / $12.90 / $29.23	Professional		$10.32	$12.90	$29.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $61.32 / $100.00	Facility		$55.00	$61.32	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.74 / $7.74 / $7.74	Professional		$7.74	$7.74	$7.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.67 / $15.48 / $38.50	Facility		$10.67	$15.48	$38.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.49 / $12.90 / $25.80	Professional		$8.49	$12.90	$25.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $45.27 / $45.27 / $45.27	Professional		$45.27	$45.27	$45.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.32 / $12.90 / $18.05	Professional		$10.32	$12.90	$18.05
United Facility/Professional Facility Modifier Low / Median / High Price $5.81 / $7.74 / $9.52	Facility		$5.81	$7.74	$9.52
United Facility/Professional Professional Modifier Low / Median / High Price $5.42 / $7.67 / $24.78	Professional		$5.42	$7.67	$24.78