Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $95.50 / $190.55	Facility		$22.91	$95.50	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $22.91 / $128.82	Professional		$14.13	$22.91	$128.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $12.02	Professional		$11.75	$11.75	$12.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $45.71 / $97.72	Facility		$11.22	$45.71	$97.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $15.49 / $42.66	Professional		$9.77	$15.49	$42.66
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $87.10 / $263.03	Facility		$44.67	$87.10	$263.03
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $22.39 / $57.54	Professional		$15.49	$22.39	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $33.11 / $72.44	Facility		$13.18	$33.11	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $18.20 / $30.20	Professional		$11.48	$18.20	$30.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $19.50 / $31.62	Professional		$17.38	$19.50	$31.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.50 / $43.65	Professional		$15.85	$19.50	$43.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $23.44 / $23.44	Professional		$11.75	$23.44	$23.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $23.44 / $56.23	Facility		$16.22	$23.44	$56.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $17.78 / $44.67	Professional		$11.48	$17.78	$44.67
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.50 / $29.51	Professional		$15.85	$19.50	$29.51
United Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $11.75 / $19.50	Facility		$8.91	$11.75	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $11.75 / $38.90	Professional		$8.32	$11.75	$38.90