Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.90 / $194.40 / $412.62	Facility		$33.90	$194.40	$412.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $13.65 / $43.52	Professional		$10.54	$13.65	$43.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.53 / $9.02 / $13.55	Professional		$7.53	$9.02	$13.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.48 / $36.29 / $293.00	Facility		$16.48	$36.29	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.44 / $11.86 / $30.85	Professional		$7.44	$11.86	$30.85
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $38.97 / $86.00 / $197.89	Facility		$38.97	$86.00	$197.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $13.33 / $72.23	Professional		$9.33	$13.33	$72.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.42 / $19.76 / $51.94	Facility		$10.42	$19.76	$51.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.41 / $11.76 / $25.05	Professional		$9.41	$11.76	$25.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $15.05 / $24.08	Professional		$13.24	$15.05	$24.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.04 / $15.06 / $33.57	Professional		$12.04	$15.06	$33.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $60.87 / $76.47 / $100.00	Facility		$60.87	$76.47	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13.55 / $18.80 / $26.85	Professional		$13.55	$18.80	$26.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $9.02 / $9.02	Professional		$9.02	$9.02	$9.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.43 / $18.01 / $48.00	Facility		$12.43	$18.01	$48.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.98 / $16.07 / $30.10	Professional		$10.98	$16.07	$30.10
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $52.82 / $52.82 / $52.82	Professional		$52.82	$52.82	$52.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $12.04 / $15.05 / $21.07	Professional		$12.04	$15.05	$21.07
United Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $12.62 / $26.29	Professional		$9.02	$12.62	$26.29