Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $61.66 / $169.82	Facility		$11.48	$61.66	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $16.98 / $109.65	Professional		$12.02	$16.98	$109.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $8.32 / $11.48	Professional		$4.47	$8.32	$11.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $38.90 / $83.18	Facility		$9.55	$38.90	$83.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $14.45 / $48.98	Professional		$8.32	$14.45	$48.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $85.11 / $223.87	Facility		$38.02	$85.11	$223.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $19.05 / $48.98	Professional		$13.18	$19.05	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $28.18 / $61.66	Facility		$11.22	$28.18	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $16.60 / $27.54	Professional		$9.77	$16.60	$27.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $16.60 / $26.92	Professional		$14.79	$16.60	$26.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $16.60 / $38.02	Professional		$13.49	$16.60	$38.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
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 $13.80 / $19.95 / $50.12	Facility		$13.80	$19.95	$50.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $15.49 / $38.02	Professional		$9.77	$15.49	$38.02
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 / $11.48 / $16.60	Facility		$7.59	$11.48	$16.60
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.00 / $33.11	Professional		$7.08	$10.00	$33.11