Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $43.65 / $151.36	Facility		$6.31	$43.65	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $67.61	Professional		$12.02	$15.14	$67.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $10.00 / $10.47	Professional		$8.32	$10.00	$10.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $38.90 / $83.18	Facility		$12.88	$38.90	$83.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $12.88 / $42.66	Professional		$7.41	$12.88	$42.66
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $81.28 / $204.17	Facility		$37.15	$81.28	$204.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $17.38 / $43.65	Professional		$12.02	$17.38	$43.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $28.18 / $58.88	Facility		$11.22	$28.18	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $18.20 / $26.30	Professional		$9.77	$18.20	$26.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $16.60 / $26.92	Professional		$13.49	$16.60	$26.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $16.60 / $37.15	Professional		$13.49	$16.60	$37.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $100.00	Facility		$79.43	$79.43	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $19.95 / $19.95	Professional		$10.00	$19.95	$19.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $19.50 / $48.98	Facility		$12.59	$19.50	$48.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $17.78 / $33.88	Professional		$10.23	$17.78	$33.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $16.98 / $28.18	Professional		$13.49	$16.98	$28.18
United Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $10.00 / $16.60	Facility		$7.59	$10.00	$16.60
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $30.90	Professional		$10.00	$12.88	$30.90