Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.80 / $115.23 / $240.75	Facility		$17.80	$115.23	$240.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.52 / $15.30 / $35.84	Professional		$12.52	$15.30	$35.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $8.99 / $16.13	Professional		$8.24	$8.99	$16.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.63 / $43.22 / $293.00	Facility		$19.63	$43.22	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.33 / $13.29 / $39.40	Professional		$8.33	$13.29	$39.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $44.60 / $86.00 / $216.84	Facility		$44.60	$86.00	$216.84
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.46 / $14.94 / $58.32	Professional		$10.46	$14.94	$58.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.68 / $23.53 / $60.00	Facility		$11.68	$23.53	$60.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.83 / $20.65 / $27.92	Professional		$11.83	$20.65	$27.92
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $14.99 / $17.92 / $28.67	Professional		$14.99	$17.92	$28.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $17.92 / $39.07	Professional		$14.34	$17.92	$39.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $87.23 / $110.92 / $110.92	Facility		$87.23	$110.92	$110.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16.13 / $22.40 / $31.84	Professional		$16.13	$22.40	$31.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.75 / $10.75 / $10.75	Professional		$10.75	$10.75	$10.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $20.04 / $46.61	Facility		$14.00	$20.04	$46.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.83 / $17.92 / $35.84	Professional		$11.83	$17.92	$35.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $62.89 / $62.89 / $62.89	Professional		$62.89	$62.89	$62.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $16.13 / $20.99	Professional		$14.34	$16.13	$20.99
United Facility/Professional Professional Modifier Low / Median / High Price $7.53 / $10.15 / $34.42	Professional		$7.53	$10.15	$34.42