Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $119.28 / $235.06	Facility		$19.05	$119.28	$235.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $14.79 / $59.04	Professional		$12.05	$14.79	$59.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.40 / $8.69 / $11.32	Professional		$4.40	$8.69	$11.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.86 / $39.32 / $293.00	Facility		$17.86	$39.32	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.05 / $12.84 / $37.93	Professional		$8.05	$12.84	$37.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $42.22 / $86.00 / $209.58	Facility		$42.22	$86.00	$209.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $14.44 / $56.37	Professional		$10.11	$14.44	$56.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.29 / $21.41 / $54.59	Facility		$11.29	$21.41	$54.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.90 / $19.42 / $27.10	Professional		$10.90	$19.42	$27.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $14.49 / $16.30 / $26.08	Professional		$14.49	$16.30	$26.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.04 / $16.30 / $36.94	Professional		$13.04	$16.30	$36.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $68.23 / $86.76 / $100.00	Facility		$68.23	$86.76	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14.67 / $20.38 / $30.84	Professional		$14.67	$20.38	$30.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $9.77	Professional		$9.77	$9.77	$9.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.50 / $19.05 / $46.78	Facility		$13.50	$19.05	$46.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.90 / $17.18 / $32.60	Professional		$10.90	$17.18	$32.60
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $57.21 / $57.21 / $57.21	Professional		$57.21	$57.21	$57.21
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $13.04 / $16.30 / $22.82	Professional		$13.04	$16.30	$22.82
United Facility/Professional Professional Modifier Low / Median / High Price $6.85 / $9.77 / $31.31	Professional		$6.85	$9.77	$31.31