Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.68 / $98.25 / $155.99	Facility		$13.68	$98.25	$155.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.72 / $19.12 / $34.75	Professional		$15.72	$19.12	$34.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $12.76 / $12.76	Professional		$9.77	$12.76	$12.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.29 / $51.28 / $293.00	Facility		$23.29	$51.28	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $16.75 / $47.18	Professional		$10.50	$16.75	$47.18
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $46.50 / $87.40 / $236.35	Facility		$46.50	$87.40	$236.35
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $13.17 / $18.82 / $54.77	Professional		$13.17	$18.82	$54.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.72 / $27.92 / $71.17	Facility		$14.72	$27.92	$71.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.14 / $25.10 / $35.31	Professional		$14.14	$25.10	$35.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $21.26 / $34.02	Professional		$18.39	$21.26	$34.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.01 / $21.26 / $47.42	Professional		$17.01	$21.26	$47.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $115.76 / $127.50 / $183.00	Facility		$115.76	$127.50	$183.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19.13 / $26.58 / $40.29	Professional		$19.13	$26.58	$40.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.75 / $12.75 / $12.75	Professional		$12.75	$12.75	$12.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $25.43 / $56.41	Facility		$17.64	$25.43	$56.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.14 / $21.26 / $42.52	Professional		$14.14	$21.26	$42.52
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $74.62 / $74.62 / $74.62	Professional		$74.62	$74.62	$74.62
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $17.01 / $21.26 / $29.76	Professional		$17.01	$21.26	$29.76
United Facility/Professional Professional Modifier Low / Median / High Price $8.93 / $12.65 / $40.84	Professional		$8.93	$12.65	$40.84