Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $83.18 / $218.78	Facility		$19.95	$83.18	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $23.99 / $162.18	Professional		$18.20	$23.99	$162.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $16.60	Professional		$16.60	$16.60	$16.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $63.10 / $138.04	Facility		$12.59	$63.10	$138.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $19.95 / $56.23	Professional		$10.96	$19.95	$56.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $87.10 / $269.15	Facility		$47.86	$87.10	$269.15
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $22.91 / $70.79	Professional		$15.85	$22.91	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $45.71 / $93.33	Facility		$18.20	$45.71	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $20.42 / $41.69	Professional		$13.49	$20.42	$41.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $27.54 / $43.65	Professional		$21.88	$27.54	$43.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $27.54 / $61.66	Professional		$21.88	$27.54	$61.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $33.11 / $33.11	Professional		$16.60	$33.11	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $31.62 / $69.18	Facility		$19.95	$31.62	$69.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $20.89 / $54.95	Professional		$14.79	$20.89	$54.95
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $28.18 / $46.77	Professional		$21.88	$28.18	$46.77
United Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $15.14 / $27.54	Facility		$12.30	$15.14	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $16.60 / $50.12	Professional		$11.48	$16.60	$50.12