Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $91.50 / $242.41	Facility		$4.37	$91.50	$242.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $22.35 / $51.62	Professional		$16.23	$22.35	$51.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $15.49 / $25.81	Professional		$11.87	$15.49	$25.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.28 / $62.25 / $293.00	Facility		$28.28	$62.25	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.75 / $20.34 / $60.07	Professional		$12.75	$20.34	$60.07
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $92.60 / $328.69	Facility		$53.00	$92.60	$328.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $22.86 / $74.06	Professional		$16.00	$22.86	$74.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.88 / $33.90 / $86.42	Facility		$17.88	$33.90	$86.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.16 / $30.98 / $42.70	Professional		$17.16	$30.98	$42.70
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $22.80 / $25.81 / $41.30	Professional		$22.80	$25.81	$41.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $25.82 / $56.78	Professional		$20.65	$25.82	$56.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $70.11 / $123.84 / $123.84	Facility		$70.11	$123.84	$123.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $29.69 / $35.35 / $51.20	Professional		$29.69	$35.35	$51.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.48 / $15.48 / $15.48	Professional		$15.48	$15.48	$15.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.20 / $29.68 / $73.77	Facility		$20.20	$29.68	$73.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.27 / $27.14 / $51.62	Professional		$17.27	$27.14	$51.62
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $90.59 / $90.59 / $90.59	Professional		$90.59	$90.59	$90.59
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $25.81 / $36.13	Professional		$20.65	$25.81	$36.13
United Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $15.15 / $49.58	Professional		$10.84	$15.15	$49.58