Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.80 / $49.02 / $170.52	Facility		$17.80	$49.02	$170.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $15.29 / $29.92	Professional		$10.70	$15.29	$29.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $10.11 / $10.11	Professional		$10.11	$10.11	$10.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.48 / $40.69 / $293.00	Facility		$18.48	$40.69	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.33 / $13.29 / $39.11	Professional		$8.33	$13.29	$39.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $43.69 / $86.00 / $216.84	Facility		$43.69	$86.00	$216.84
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.45 / $14.93 / $58.32	Professional		$10.45	$14.93	$58.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.68 / $22.16 / $56.50	Facility		$11.68	$22.16	$56.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $20.41 / $30.12	Professional		$11.03	$20.41	$30.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $14.99 / $16.87 / $26.99	Professional		$14.99	$16.87	$26.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $16.87 / $37.11	Professional		$13.50	$16.87	$37.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $132.66 / $168.67 / $168.67	Facility		$132.66	$168.67	$168.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $10.11 / $10.11	Professional		$10.11	$10.11	$10.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.96 / $20.18 / $48.41	Facility		$13.96	$20.18	$48.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.13 / $16.87 / $33.74	Professional		$11.13	$16.87	$33.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $59.21 / $59.21 / $59.21	Professional		$59.21	$59.21	$59.21
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $16.87 / $23.62	Professional		$13.50	$16.87	$23.62
United Facility/Professional Facility Modifier Low / Median / High Price $7.09 / $16.87 / $16.87	Facility		$7.09	$16.87	$16.87
United Facility/Professional Professional Modifier Low / Median / High Price $7.09 / $10.11 / $32.61	Professional		$7.09	$10.11	$32.61