Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.60 / $86.22 / $135.15	Facility		$14.60	$86.22	$135.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.27 / $12.32 / $25.08	Professional		$10.27	$12.32	$25.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.30 / $8.30 / $9.61	Professional		$8.30	$8.30	$9.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.16 / $33.38 / $293.00	Facility		$15.16	$33.38	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $10.90 / $35.46	Professional		$6.83	$10.90	$35.46
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $35.85 / $84.60 / $177.74	Facility		$35.85	$84.60	$177.74
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $8.58 / $12.25 / $66.43	Professional		$8.58	$12.25	$66.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.58 / $18.18 / $46.35	Facility		$9.58	$18.18	$46.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $16.60 / $22.99	Professional		$9.27	$16.60	$22.99
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $13.84 / $22.14	Professional		$12.30	$13.84	$22.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.07 / $13.84 / $31.83	Professional		$11.07	$13.84	$31.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.09 / $212.16 / $212.16	Facility		$80.09	$212.16	$212.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.30 / $8.30 / $8.30	Professional		$8.30	$8.30	$8.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.47 / $16.54 / $39.52	Facility		$11.47	$16.54	$39.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $13.84 / $27.68	Professional		$9.27	$13.84	$27.68
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $48.57 / $48.57 / $48.57	Professional		$48.57	$48.57	$48.57
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $11.07 / $13.84 / $19.38	Professional		$11.07	$13.84	$19.38
United Facility/Professional Facility Modifier Low / Median / High Price $5.81 / $13.84 / $13.84	Facility		$5.81	$13.84	$13.84
United Facility/Professional Professional Modifier Low / Median / High Price $5.81 / $8.30 / $26.74	Professional		$5.81	$8.30	$26.74