Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.45 / $135.12 / $217.77	Facility		$20.45	$135.12	$217.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.33 / $17.34 / $61.92	Professional		$14.33	$17.34	$61.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.23 / $10.27 / $17.44	Professional		$5.23	$10.27	$17.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.23 / $46.74 / $293.00	Facility		$21.23	$46.74	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.57 / $15.27 / $45.08	Professional		$9.57	$15.27	$45.08
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $45.10 / $87.47 / $249.14	Facility		$45.10	$87.47	$249.14
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.01 / $17.16 / $66.98	Professional		$12.01	$17.16	$66.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.43 / $25.45 / $64.89	Facility		$13.43	$25.45	$64.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.97 / $23.17 / $32.03	Professional		$12.97	$23.17	$32.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $17.11 / $19.38 / $31.01	Professional		$17.11	$19.38	$31.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.50 / $19.38 / $42.25	Professional		$15.50	$19.38	$42.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $92.06 / $100.00	Facility		$72.00	$92.06	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17.44 / $24.23 / $36.79	Professional		$17.44	$24.23	$36.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.63 / $11.63 / $11.63	Professional		$11.63	$11.63	$11.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.86 / $23.18 / $62.82	Facility		$15.86	$23.18	$62.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.97 / $19.38 / $38.76	Professional		$12.97	$19.38	$38.76
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $68.02 / $68.02 / $68.02	Professional		$68.02	$68.02	$68.02
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $15.50 / $19.38 / $27.13	Professional		$15.50	$19.38	$27.13
United Facility/Professional Professional Modifier Low / Median / High Price $8.14 / $11.53 / $37.47	Professional		$8.14	$11.53	$37.47