Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.50 / $57.00 / $168.88	Facility		$17.50	$57.00	$168.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.78 / $19.39 / $39.50	Professional		$11.78	$19.39	$39.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $13.34 / $13.34	Professional		$10.23	$13.34	$13.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.36 / $53.62 / $293.00	Facility		$24.36	$53.62	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.98 / $17.52 / $57.05	Professional		$10.98	$17.52	$57.05
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $48.90 / $89.50 / $283.05	Facility		$48.90	$89.50	$283.05
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $13.78 / $19.69 / $63.79	Professional		$13.78	$19.69	$63.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.39 / $29.19 / $74.42	Facility		$15.39	$29.19	$74.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.84 / $26.26 / $36.96	Professional		$14.84	$26.26	$36.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $19.62 / $22.23 / $35.57	Professional		$19.62	$22.23	$35.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $22.23 / $48.91	Professional		$17.78	$22.23	$48.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $63.99 / $106.14 / $106.14	Facility		$63.99	$106.14	$106.14
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $20.01 / $27.79 / $42.28	Professional		$20.01	$27.79	$42.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.34 / $13.34 / $13.34	Professional		$13.34	$13.34	$13.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $26.60 / $63.55	Facility		$18.39	$26.60	$63.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.84 / $22.23 / $44.46	Professional		$14.84	$22.23	$44.46
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $78.02 / $78.02 / $78.02	Professional		$78.02	$78.02	$78.02
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $22.23 / $31.12	Professional		$17.78	$22.23	$31.12
United Facility/Professional Professional Modifier Low / Median / High Price $9.34 / $13.23 / $42.70	Professional		$9.34	$13.23	$42.70