Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $70.79 / $169.82	Facility		$15.14	$70.79	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $14.13 / $79.43	Professional		$10.47	$14.13	$79.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $10.23 / $10.72	Professional		$9.55	$10.23	$10.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $36.31 / $77.62	Facility		$8.91	$36.31	$77.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $13.18 / $45.71	Professional		$7.59	$13.18	$45.71
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $81.28 / $208.93	Facility		$34.67	$81.28	$208.93
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $17.78 / $44.67	Professional		$12.30	$17.78	$44.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $26.30 / $56.23	Facility		$10.47	$26.30	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $15.49 / $25.70	Professional		$9.33	$15.49	$25.70
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $15.49 / $24.55	Professional		$13.80	$15.49	$24.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $15.49 / $34.67	Professional		$12.30	$15.49	$34.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $100.00	Facility		$74.13	$74.13	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $18.62 / $18.62	Professional		$9.33	$18.62	$18.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $18.62 / $45.71	Facility		$12.88	$18.62	$45.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $14.45 / $35.48	Professional		$9.33	$14.45	$35.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $15.85 / $26.30	Professional		$12.30	$15.85	$26.30
United Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $9.33 / $15.49	Facility		$6.92	$9.33	$15.49
United Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $9.33 / $30.90	Professional		$6.46	$9.33	$30.90