Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $69.18 / $190.55	Facility		$25.70	$69.18	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $20.89 / $131.83	Professional		$16.22	$20.89	$131.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $16.22	Professional		$15.85	$15.85	$16.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $61.66 / $134.90	Facility		$12.30	$61.66	$134.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $19.50 / $52.48	Professional		$10.72	$19.50	$52.48
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $85.11 / $239.88	Facility		$46.77	$85.11	$239.88
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $20.42 / $63.10	Professional		$14.13	$20.42	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $44.67 / $91.20	Facility		$17.38	$44.67	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $17.78 / $40.74	Professional		$12.02	$17.78	$40.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $26.92 / $42.66	Professional		$19.50	$26.92	$42.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $26.92 / $57.54	Professional		$21.38	$26.92	$57.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $32.36 / $32.36	Professional		$15.85	$32.36	$32.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $29.51 / $70.79	Facility		$19.50	$29.51	$70.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $19.50 / $53.70	Professional		$13.18	$19.50	$53.70
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $26.92 / $45.71	Professional		$21.38	$26.92	$45.71
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $14.79 / $26.92	Facility		$12.02	$14.79	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $15.85 / $47.86	Professional		$10.47	$15.85	$47.86