Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.85 / $55.42 / $229.89	Facility		$16.85	$55.42	$229.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.22 / $22.57 / $30.23	Professional		$20.22	$22.57	$30.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.62 / $15.16 / $24.01	Professional		$11.62	$15.16	$24.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.69 / $60.95 / $293.00	Facility		$27.69	$60.95	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $19.91 / $58.79	Professional		$12.48	$19.91	$58.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $52.79 / $92.60 / $321.67	Facility		$52.79	$92.60	$321.67
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15.66 / $22.37 / $72.50	Professional		$15.66	$22.37	$72.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.51 / $33.19 / $84.61	Facility		$17.51	$33.19	$84.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $30.62 / $45.18	Professional		$16.55	$30.62	$45.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $22.47 / $25.27 / $40.43	Professional		$22.47	$25.27	$40.43
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $155.35 / $155.35 / $155.35	Professional		$155.35	$155.35	$155.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.22 / $25.27 / $55.59	Professional		$20.22	$25.27	$55.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $77.47 / $120.82 / $120.82	Facility		$77.47	$120.82	$120.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.16 / $15.16 / $15.16	Professional		$15.16	$15.16	$15.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.92 / $30.23 / $75.63	Facility		$20.92	$30.23	$75.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.69 / $25.27 / $50.54	Professional		$16.69	$25.27	$50.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $88.69 / $88.69 / $88.69	Professional		$88.69	$88.69	$88.69
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $20.22 / $25.27 / $35.38	Professional		$20.22	$25.27	$35.38
United Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $15.16 / $48.87	Professional		$10.61	$15.16	$48.87