Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.79 / $112.86 / $184.54	Facility		$19.79	$112.86	$184.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.32 / $14.98 / $36.45	Professional		$9.32	$14.98	$36.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.79 / $10.16 / $16.94	Professional		$7.79	$10.16	$16.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.55 / $40.86 / $293.00	Facility		$18.55	$40.86	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $13.34 / $39.44	Professional		$8.36	$13.34	$39.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $43.87 / $86.60 / $217.76	Facility		$43.87	$86.60	$217.76
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $15.00 / $58.57	Professional		$10.50	$15.00	$58.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.74 / $22.24 / $56.70	Facility		$11.74	$22.24	$56.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.34 / $20.23 / $27.92	Professional		$11.34	$20.23	$27.92
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $11.93 / $16.94 / $27.10	Professional		$11.93	$16.94	$27.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.55 / $16.94 / $34.00	Professional		$13.55	$16.94	$34.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $76.00 / $81.39 / $120.00	Facility		$76.00	$81.39	$120.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15.25 / $21.18 / $32.33	Professional		$15.25	$21.18	$32.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $10.16 / $10.16	Professional		$10.16	$10.16	$10.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.94 / $20.32 / $54.94	Facility		$13.94	$20.32	$54.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $17.73 / $33.88	Professional		$11.36	$17.73	$33.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $59.45 / $59.45 / $59.45	Professional		$59.45	$59.45	$59.45
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $13.55 / $16.94 / $23.72	Professional		$13.55	$16.94	$23.72
United Facility/Professional Professional Modifier Low / Median / High Price $7.11 / $10.16 / $33.72	Professional		$7.11	$10.16	$33.72