Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.17 / $54.62 / $145.86	Facility		$16.17	$54.62	$145.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.18 / $13.41 / $25.64	Professional		$10.18	$13.41	$25.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.06 / $7.06 / $8.47	Professional		$7.06	$7.06	$8.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.47 / $34.06 / $293.00	Facility		$15.47	$34.06	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.97 / $11.13 / $34.68	Professional		$6.97	$11.13	$34.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $36.57 / $84.60 / $181.61	Facility		$36.57	$84.60	$181.61
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $8.76 / $12.51 / $67.78	Professional		$8.76	$12.51	$67.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $18.54 / $47.28	Facility		$9.77	$18.54	$47.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $10.46 / $25.30	Professional		$8.00	$10.46	$25.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $12.55 / $14.12 / $22.59	Professional		$12.55	$14.12	$22.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.30 / $14.12 / $31.50	Professional		$11.30	$14.12	$31.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $67.23 / $205.00	Facility		$53.00	$67.23	$205.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.47 / $8.47 / $8.47	Professional		$8.47	$8.47	$8.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.68 / $16.89 / $40.36	Facility		$11.68	$16.89	$40.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $14.12 / $28.24	Professional		$9.27	$14.12	$28.24
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $49.56 / $49.56 / $49.56	Professional		$49.56	$49.56	$49.56
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $11.30 / $14.12 / $19.77	Professional		$11.30	$14.12	$19.77
United Facility/Professional Professional Modifier Low / Median / High Price $5.93 / $8.40 / $27.12	Professional		$5.93	$8.40	$27.12