Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.14 / $77.63 / $177.60	Facility		$18.14	$77.63	$177.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.40 / $19.89 / $93.27	Professional		$15.40	$19.89	$93.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.38 / $16.38 / $16.38	Professional		$16.38	$16.38	$16.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.91 / $65.84 / $293.00	Facility		$29.91	$65.84	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.92 / $14.22 / $44.13	Professional		$10.92	$14.22	$44.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $45.88 / $87.20 / $220.98	Facility		$45.88	$87.20	$220.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.65 / $15.22 / $52.97	Professional		$10.65	$15.22	$52.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.75 / $35.86 / $88.04	Facility		$17.75	$35.86	$88.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $31.39 / $41.81	Professional		$12.58	$31.39	$41.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $18.72 / $27.30 / $43.68	Professional		$18.72	$27.30	$43.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.84 / $27.30 / $59.51	Professional		$21.84	$27.30	$59.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $52.24 / $129.68 / $129.68	Facility		$52.24	$129.68	$129.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.65 / $13.65 / $13.65	Professional		$13.65	$13.65	$13.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.75 / $27.30 / $64.00	Facility		$17.75	$27.30	$64.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $23.64 / $37.01	Professional		$12.74	$23.64	$37.01
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $95.82 / $95.82 / $95.82	Professional		$95.82	$95.82	$95.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $21.84 / $27.30 / $38.22	Professional		$21.84	$27.30	$38.22
United Facility/Professional Facility Modifier Low / Median / High Price $11.79 / $12.70 / $16.38	Facility		$11.79	$12.70	$16.38
United Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $11.47 / $38.72	Professional		$10.09	$11.47	$38.72