Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $70.79 / $194.98	Facility		$18.20	$70.79	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $19.05 / $117.49	Professional		$12.88	$19.05	$117.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.96 / $12.30	Professional		$10.72	$10.96	$12.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $41.69 / $89.13	Facility		$10.23	$41.69	$89.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $15.49 / $52.48	Professional		$8.91	$15.49	$52.48
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $85.11 / $239.88	Facility		$40.74	$85.11	$239.88
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $20.42 / $52.48	Professional		$14.13	$20.42	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $30.20 / $66.07	Facility		$12.02	$30.20	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $18.20 / $29.51	Professional		$10.72	$18.20	$29.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $17.78 / $28.84	Professional		$15.85	$17.78	$28.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $17.78 / $40.74	Professional		$14.45	$17.78	$40.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $21.38 / $21.38	Professional		$10.72	$21.38	$21.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $21.38 / $57.54	Facility		$14.79	$21.38	$57.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $16.60 / $40.74	Professional		$10.72	$16.60	$40.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $18.20 / $30.20	Professional		$14.45	$18.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $12.30 / $17.78	Facility		$8.13	$12.30	$17.78
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.72 / $35.48	Professional		$7.59	$10.72	$35.48