Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.05 / $42.73 / $158.72	Facility		$5.05	$42.73	$158.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $15.59 / $20.72	Professional		$13.24	$15.59	$20.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.83 / $10.59 / $12.03	Professional		$8.83	$10.59	$12.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.34 / $42.57 / $293.00	Facility		$19.34	$42.57	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.55 / $13.64 / $40.31	Professional		$8.55	$13.64	$40.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $44.60 / $87.20 / $222.64	Facility		$44.60	$87.20	$222.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $15.33 / $59.88	Professional		$10.73	$15.33	$59.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.98 / $23.17 / $59.07	Facility		$11.98	$23.17	$59.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $21.05 / $31.32	Professional		$11.25	$21.05	$31.32
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $11.49 / $17.64 / $28.24	Professional		$11.49	$17.64	$28.24
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $18.85 / $18.85 / $18.85	Professional		$18.85	$18.85	$18.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.12 / $17.64 / $38.47	Professional		$14.12	$17.64	$38.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $67.58 / $96.00 / $96.00	Facility		$67.58	$96.00	$96.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.59 / $10.59 / $10.59	Professional		$10.59	$10.59	$10.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.33 / $20.72 / $49.50	Facility		$14.33	$20.72	$49.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.83 / $17.64 / $35.29	Professional		$11.83	$17.64	$35.29
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $61.95 / $61.95 / $61.95	Professional		$61.95	$61.95	$61.95
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.12 / $17.64 / $24.71	Professional		$14.12	$17.64	$24.71
United Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $10.30 / $33.90	Professional		$7.41	$10.30	$33.90