Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.13 / $45.00 / $218.50	Facility		$15.13	$45.00	$218.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.17 / $24.45 / $48.40	Professional		$20.17	$24.45	$48.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.59 / $16.30 / $16.30	Professional		$13.59	$16.30	$16.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.77 / $65.53 / $293.00	Facility		$29.77	$65.53	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.42 / $21.40 / $63.20	Professional		$13.42	$21.40	$63.20
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $92.60 / $345.72	Facility		$53.00	$92.60	$345.72
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $24.06 / $77.95	Professional		$16.84	$24.06	$77.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.80 / $35.67 / $90.95	Facility		$18.80	$35.67	$90.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $32.85 / $48.19	Professional		$17.82	$32.85	$48.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $23.93 / $27.17 / $43.47	Professional		$23.93	$27.17	$43.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.74 / $27.17 / $61.57	Professional		$21.74	$27.17	$61.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $87.88 / $129.72 / $129.72	Facility		$87.88	$129.72	$129.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $24.45 / $33.96 / $51.73	Professional		$24.45	$33.96	$51.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $16.30 / $16.30	Professional		$16.30	$16.30	$16.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.53 / $31.43 / $74.09	Facility		$22.53	$31.43	$74.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.09 / $27.17 / $54.34	Professional		$18.09	$27.17	$54.34
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $95.36 / $95.36 / $95.36	Professional		$95.36	$95.36	$95.36
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $21.74 / $27.17 / $38.04	Professional		$21.74	$27.17	$38.04
United Facility/Professional Professional Modifier Low / Median / High Price $11.41 / $16.16 / $52.53	Professional		$11.41	$16.16	$52.53