Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.57 / $56.95 / $199.99	Facility		$16.57	$56.95	$199.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $18.01 / $24.74	Professional		$15.28	$18.01	$24.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $12.40 / $12.40	Professional		$9.51	$12.40	$12.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.65 / $49.86 / $293.00	Facility		$22.65	$49.86	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.21 / $16.29 / $48.12	Professional		$10.21	$16.29	$48.12
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $46.71 / $89.10 / $263.19	Facility		$46.71	$89.10	$263.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.81 / $18.30 / $59.34	Professional		$12.81	$18.30	$59.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.32 / $27.15 / $69.22	Facility		$14.32	$27.15	$69.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.68 / $24.71 / $34.49	Professional		$13.68	$24.71	$34.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $18.38 / $20.67 / $33.07	Professional		$18.38	$20.67	$33.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $20.67 / $45.47	Professional		$16.54	$20.67	$45.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $99.06 / $99.06	Facility		$55.00	$99.06	$99.06
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18.60 / $25.84 / $39.29	Professional		$18.60	$25.84	$39.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.40 / $12.40 / $12.40	Professional		$12.40	$12.40	$12.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.14 / $24.26 / $59.07	Facility		$17.14	$24.26	$59.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.68 / $20.67 / $41.34	Professional		$13.68	$20.67	$41.34
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $72.55 / $72.55 / $72.55	Professional		$72.55	$72.55	$72.55
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $20.67 / $28.94	Professional		$16.54	$20.67	$28.94
United Facility/Professional Professional Modifier Low / Median / High Price $8.68 / $12.40 / $41.07	Professional		$8.68	$12.40	$41.07