Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.48 / $110.68 / $214.50	Facility		$20.48	$110.68	$214.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.56 / $18.57 / $41.72	Professional		$13.56	$18.57	$41.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $12.52 / $18.77	Professional		$9.60	$12.52	$18.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.86 / $50.31 / $293.00	Facility		$22.86	$50.31	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $16.43 / $48.54	Professional		$10.30	$16.43	$48.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $47.14 / $89.10 / $265.56	Facility		$47.14	$89.10	$265.56
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.93 / $18.47 / $59.87	Professional		$12.93	$18.47	$59.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $27.39 / $69.83	Facility		$14.45	$27.39	$69.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $24.71 / $34.49	Professional		$13.91	$24.71	$34.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $20.86 / $33.38	Professional		$18.30	$20.86	$33.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.69 / $20.86 / $47.27	Professional		$16.69	$20.86	$47.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $99.09 / $100.00	Facility		$72.00	$99.09	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18.77 / $24.89 / $39.79	Professional		$18.77	$24.89	$39.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.51 / $12.51 / $12.51	Professional		$12.51	$12.51	$12.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.14 / $24.14 / $53.92	Facility		$17.14	$24.14	$53.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $20.86 / $41.72	Professional		$13.91	$20.86	$41.72
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $73.20 / $73.20	Professional		$73.20	$73.20	$73.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $16.69 / $20.86 / $29.20	Professional		$16.69	$20.86	$29.20
United Facility/Professional Professional Modifier Low / Median / High Price $8.76 / $12.52 / $40.07	Professional		$8.76	$12.52	$40.07