Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $40.74 / $162.18	Facility		$12.88	$40.74	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.85 / $109.65	Professional		$12.02	$15.85	$109.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $10.47 / $11.75	Professional		$8.51	$10.47	$11.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $39.81 / $85.11	Facility		$9.77	$39.81	$85.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $14.45 / $50.12	Professional		$8.32	$14.45	$50.12
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $85.11 / $229.09	Facility		$38.02	$85.11	$229.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $19.50 / $48.98	Professional		$13.49	$19.50	$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 $10.00 / $16.98 / $28.18	Professional		$10.00	$16.98	$28.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $16.98 / $26.92	Professional		$15.14	$16.98	$26.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $16.98 / $38.02	Professional		$13.49	$16.98	$38.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $100.00	Facility		$83.18	$83.18	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $20.42 / $20.42	Professional		$10.23	$20.42	$20.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $20.42 / $51.29	Facility		$14.13	$20.42	$51.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.85 / $38.90	Professional		$10.00	$15.85	$38.90
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 / $17.38 / $28.84	Professional		$13.49	$17.38	$28.84
United Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $11.75 / $16.98	Facility		$7.59	$11.75	$16.98
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.23 / $33.88	Professional		$7.08	$10.23	$33.88