Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.48 / $43.69 / $225.80	Facility		$6.48	$43.69	$225.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $22.16 / $31.45	Professional		$9.61	$22.16	$31.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $15.28 / $17.69	Professional		$11.97	$15.28	$17.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.91 / $61.43 / $293.00	Facility		$27.91	$61.43	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $20.05 / $65.34	Professional		$12.58	$20.05	$65.34
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $92.60 / $324.04	Facility		$53.00	$92.60	$324.04
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15.79 / $22.55 / $73.08	Professional		$15.79	$22.55	$73.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.63 / $33.45 / $85.28	Facility		$17.63	$33.45	$85.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $30.12 / $42.30	Professional		$16.93	$30.12	$42.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $22.64 / $25.47 / $40.75	Professional		$22.64	$25.47	$40.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.38 / $25.47 / $56.03	Professional		$20.38	$25.47	$56.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $72.41 / $121.47 / $121.47	Facility		$72.41	$121.47	$121.47
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $22.92 / $31.84 / $48.25	Professional		$22.92	$31.84	$48.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $15.28 / $15.28	Professional		$15.28	$15.28	$15.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.92 / $30.33 / $77.17	Facility		$19.92	$30.33	$77.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $25.47 / $50.94	Professional		$16.93	$25.47	$50.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $89.39 / $89.39 / $89.39	Professional		$89.39	$89.39	$89.39
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $20.38 / $25.47 / $35.65	Professional		$20.38	$25.47	$35.65
United Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $15.15 / $48.93	Professional		$10.70	$15.15	$48.93