Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $74.13 / $204.17	Facility		$19.95	$74.13	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.95 / $134.90	Professional		$15.14	$19.95	$134.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.23 / $14.13	Professional		$10.23	$10.23	$14.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $46.77 / $102.33	Facility		$11.75	$46.77	$102.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $17.38 / $57.54	Professional		$10.00	$17.38	$57.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $87.10 / $275.42	Facility		$45.71	$87.10	$275.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $23.44 / $58.88	Professional		$16.22	$23.44	$58.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $33.88 / $74.13	Facility		$13.49	$33.88	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $20.42 / $33.88	Professional		$12.02	$20.42	$33.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $20.42 / $32.36	Professional		$18.20	$20.42	$32.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $20.42 / $45.71	Professional		$16.22	$20.42	$45.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $100.00	Facility		$97.72	$97.72	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $24.55 / $24.55	Professional		$12.30	$24.55	$24.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $24.55 / $61.66	Facility		$16.98	$24.55	$61.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $19.05 / $45.71	Professional		$12.02	$19.05	$45.71
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $20.89 / $34.67	Professional		$16.22	$20.89	$34.67
United Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $12.30 / $20.42	Facility		$9.12	$12.30	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $12.30 / $40.74	Professional		$8.51	$12.30	$40.74