Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.96 / $88.91 / $151.08	Facility		$14.96	$88.91	$151.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $12.84 / $30.51	Professional		$9.86	$12.84	$30.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.52 / $8.51 / $9.84	Professional		$6.52	$8.51	$9.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.54 / $34.20 / $293.00	Facility		$15.54	$34.20	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $11.17 / $32.99	Professional		$7.00	$11.17	$32.99
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $36.72 / $84.80 / $182.25	Facility		$36.72	$84.80	$182.25
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $8.78 / $12.55 / $68.06	Professional		$8.78	$12.55	$68.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.82 / $18.62 / $47.48	Facility		$9.82	$18.62	$47.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.48 / $16.98 / $23.40	Professional		$9.48	$16.98	$23.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $14.18 / $22.69	Professional		$12.59	$14.18	$22.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.34 / $14.18 / $31.20	Professional		$11.34	$14.18	$31.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $67.36 / $100.00	Facility		$58.00	$67.36	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12.76 / $17.73 / $26.86	Professional		$12.76	$17.73	$26.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.51 / $8.51	Professional		$8.51	$8.51	$8.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $17.02 / $40.51	Facility		$11.75	$17.02	$40.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.48 / $14.18 / $28.36	Professional		$9.48	$14.18	$28.36
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $49.77 / $49.77 / $49.77	Professional		$49.77	$49.77	$49.77
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $11.34 / $14.18 / $19.85	Professional		$11.34	$14.18	$19.85
United Facility/Professional Professional Modifier Low / Median / High Price $5.96 / $8.43 / $25.75	Professional		$5.96	$8.43	$25.75