Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $70.79 / $158.49	Facility		$16.98	$70.79	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $14.13 / $97.72	Professional		$9.55	$14.13	$97.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $9.77	Professional		$9.77	$9.77	$9.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $33.88 / $74.13	Facility		$8.51	$33.88	$74.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $12.59 / $42.66	Professional		$7.24	$12.59	$42.66
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $81.28 / $199.53	Facility		$33.11	$81.28	$199.53
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $16.60 / $42.66	Professional		$11.75	$16.60	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $24.55 / $53.70	Facility		$9.77	$24.55	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $14.79 / $23.99	Professional		$8.71	$14.79	$23.99
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $14.79 / $23.44	Professional		$13.18	$14.79	$23.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $14.79 / $33.11	Professional		$11.75	$14.79	$33.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $100.00	Facility		$87.10	$87.10	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $17.78 / $17.78	Professional		$8.91	$17.78	$17.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $17.78 / $45.71	Facility		$12.30	$17.78	$45.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $13.80 / $33.11	Professional		$8.71	$13.80	$33.11
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $15.14 / $25.12	Professional		$11.75	$15.14	$25.12
United Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $10.00 / $14.79	Facility		$6.61	$10.00	$14.79
United Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $8.91 / $29.51	Professional		$6.17	$8.91	$29.51