Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $72.44 / $169.82	Facility		$9.77	$72.44	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.20 / $112.20	Professional		$14.13	$18.20	$112.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.02 / $28.18	Professional		$8.91	$12.02	$28.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $37.15 / $89.13	Facility		$8.71	$37.15	$89.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $31.62 / $97.72	Professional		$8.71	$31.62	$97.72
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $85.11 / $239.88	Facility		$40.74	$85.11	$239.88
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $20.42 / $51.29	Professional		$14.13	$20.42	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $30.90 / $66.07	Facility		$12.02	$30.90	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $22.91 / $46.77	Professional		$13.18	$22.91	$46.77
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $17.78 / $28.84	Professional		$15.85	$17.78	$28.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $17.78 / $39.81	Professional		$14.13	$17.78	$39.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $20.89 / $21.38	Professional		$10.23	$20.89	$21.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $21.38 / $52.48	Facility		$16.98	$21.38	$52.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $22.91 / $57.54	Professional		$13.80	$22.91	$57.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $18.62 / $26.92	Professional		$15.85	$18.62	$26.92
United Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $10.23 / $17.78	Facility		$7.76	$10.23	$17.78
United Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $10.72 / $38.90	Professional		$7.41	$10.72	$38.90