Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.31 / $36.85 / $125.98	Facility		$10.31	$36.85	$125.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $11.67 / $21.90	Professional		$10.95	$11.67	$21.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $8.67 / $8.67	Professional		$7.23	$8.67	$8.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.83 / $34.85 / $293.00	Facility		$15.83	$34.85	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.36 / $10.14 / $29.98	Professional		$6.36	$10.14	$29.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $34.33 / $80.06 / $167.31	Facility		$34.33	$80.06	$167.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $7.97 / $11.39 / $69.36	Professional		$7.97	$11.39	$69.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.39 / $18.97 / $47.28	Facility		$9.39	$18.97	$47.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.49 / $16.93 / $25.90	Professional		$8.49	$16.93	$25.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $11.56 / $14.45 / $23.12	Professional		$11.56	$14.45	$23.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.56 / $14.45 / $32.75	Professional		$11.56	$14.45	$32.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $52.00 / $68.64 / $100.00	Facility		$52.00	$68.64	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.67 / $8.67 / $8.67	Professional		$8.67	$8.67	$8.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.75 / $16.20 / $40.50	Facility		$10.75	$16.20	$40.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.39 / $14.45 / $27.89	Professional		$9.39	$14.45	$27.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $50.71 / $50.71 / $50.71	Professional		$50.71	$50.71	$50.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $11.56 / $14.45 / $20.23	Professional		$11.56	$14.45	$20.23
United Facility/Professional Facility Modifier Low / Median / High Price $6.07 / $14.45 / $14.45	Facility		$6.07	$14.45	$14.45
United Facility/Professional Professional Modifier Low / Median / High Price $6.07 / $7.74 / $25.62	Professional		$6.07	$7.74	$25.62