Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.70 / $70.54 / $190.50	Facility		$13.70	$70.54	$190.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $12.46 / $81.38	Professional		$9.60	$12.46	$81.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.79 / $7.79 / $7.79	Professional		$7.79	$7.79	$7.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.22 / $31.31 / $293.00	Facility		$14.22	$31.31	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.41 / $10.23 / $33.29	Professional		$6.41	$10.23	$33.29
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $33.61 / $80.72 / $168.70	Facility		$33.61	$80.72	$168.70
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $8.05 / $11.50 / $62.30	Professional		$8.05	$11.50	$62.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.98 / $17.05 / $43.47	Facility		$8.98	$17.05	$43.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.58 / $15.45 / $21.35	Professional		$8.58	$15.45	$21.35
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $12.98 / $20.77	Professional		$11.54	$12.98	$20.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.38 / $12.98 / $29.42	Professional		$10.38	$12.98	$29.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $134.69 / $171.26 / $171.26	Facility		$134.69	$171.26	$171.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.79 / $7.79 / $7.79	Professional		$7.79	$7.79	$7.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.77 / $15.02 / $36.40	Facility		$10.77	$15.02	$36.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.58 / $12.98 / $25.96	Professional		$8.58	$12.98	$25.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $45.55 / $45.55 / $45.55	Professional		$45.55	$45.55	$45.55
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.38 / $12.98 / $18.17	Professional		$10.38	$12.98	$18.17
United Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Facility		$60.00	$60.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $5.45 / $7.79 / $25.11	Professional		$5.45	$7.79	$25.11