Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.72 / $60.48 / $221.41	Facility		$20.72	$60.48	$221.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.76 / $17.66 / $26.95	Professional		$12.76	$17.66	$26.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.82 / $11.78 / $19.63	Professional		$9.82	$11.78	$19.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.51 / $47.35 / $293.00	Facility		$21.51	$47.35	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $15.46 / $45.53	Professional		$9.69	$15.46	$45.53
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $45.50 / $87.70 / $249.80	Facility		$45.50	$87.70	$249.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.17 / $17.38 / $67.86	Professional		$12.17	$17.38	$67.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.58 / $25.78 / $65.70	Facility		$13.58	$25.78	$65.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.73 / $23.92 / $32.85	Professional		$12.73	$23.92	$32.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $17.45 / $19.63 / $31.41	Professional		$17.45	$19.63	$31.41
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $21.36 / $21.36 / $21.36	Professional		$21.36	$21.36	$21.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.70 / $19.63 / $43.79	Professional		$15.70	$19.63	$43.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $93.24 / $93.24	Facility		$80.00	$93.24	$93.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.78 / $11.78 / $11.78	Professional		$11.78	$11.78	$11.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.28 / $21.59 / $49.76	Facility		$16.28	$21.59	$49.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.98 / $19.63 / $32.85	Professional		$12.98	$19.63	$32.85
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $68.90 / $68.90 / $68.90	Professional		$68.90	$68.90	$68.90
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $15.70 / $17.80 / $24.43	Professional		$15.70	$17.80	$24.43
United Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $11.68 / $37.95	Professional		$8.24	$11.68	$37.95