Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.58 / $59.46 / $182.23	Facility		$11.58	$59.46	$182.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.29 / $19.18 / $26.31	Professional		$14.29	$19.18	$26.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $13.19 / $13.19	Professional		$11.00	$13.19	$13.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.09 / $53.04 / $293.00	Facility		$24.09	$53.04	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.86 / $17.32 / $50.42	Professional		$10.86	$17.32	$50.42
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $48.90 / $89.10 / $279.95	Facility		$48.90	$89.10	$279.95
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $19.47 / $63.10	Professional		$13.63	$19.47	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.23 / $28.87 / $73.59	Facility		$15.23	$28.87	$73.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.43 / $26.79 / $39.15	Professional		$14.43	$26.79	$39.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $21.99 / $35.18	Professional		$19.55	$21.99	$35.18
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $68.31 / $68.31 / $68.31	Professional		$68.31	$68.31	$68.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.59 / $21.99 / $48.38	Professional		$17.59	$21.99	$48.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $97.60 / $124.10 / $124.10	Facility		$97.60	$124.10	$124.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.19 / $13.19 / $13.19	Professional		$13.19	$13.19	$13.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.25 / $26.31 / $64.63	Facility		$18.25	$26.31	$64.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.61 / $21.99 / $43.98	Professional		$14.61	$21.99	$43.98
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $77.18 / $77.18 / $77.18	Professional		$77.18	$77.18	$77.18
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $17.59 / $21.99 / $30.79	Professional		$17.59	$21.99	$30.79
United Facility/Professional Professional Modifier Low / Median / High Price $9.24 / $13.19 / $42.24	Professional		$9.24	$13.19	$42.24