Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.60 / $140.10 / $221.44	Facility		$32.60	$140.10	$221.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.99 / $13.35 / $30.16	Professional		$7.99	$13.35	$30.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.94 / $9.05 / $13.57	Professional		$6.94	$9.05	$13.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.52 / $36.36 / $293.00	Facility		$16.52	$36.36	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.53 / $11.87 / $34.54	Professional		$8.53	$11.87	$34.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $39.06 / $85.50 / $193.75	Facility		$39.06	$85.50	$193.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $13.35 / $72.38	Professional		$9.35	$13.35	$72.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.44 / $19.80 / $50.47	Facility		$10.44	$19.80	$50.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.97 / $17.76 / $25.05	Professional		$9.97	$17.76	$25.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $15.08 / $24.13	Professional		$13.33	$15.08	$24.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.06 / $15.08 / $33.18	Professional		$12.06	$15.08	$33.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $71.94 / $100.00	Facility		$58.00	$71.94	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17.45 / $21.33 / $40.00	Professional		$17.45	$21.33	$40.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $9.05 / $9.05	Professional		$9.05	$9.05	$9.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.43 / $18.03 / $45.67	Facility		$12.43	$18.03	$45.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.97 / $15.08 / $30.16	Professional		$9.97	$15.08	$30.16
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $52.93 / $52.93 / $52.93	Professional		$52.93	$52.93	$52.93
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $12.06 / $15.08 / $21.11	Professional		$12.06	$15.08	$21.11
United Facility/Professional Professional Modifier Low / Median / High Price $6.33 / $8.97 / $29.15	Professional		$6.33	$8.97	$29.15