Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.63 / $95.55 / $175.33	Facility		$14.63	$95.55	$175.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.95 / $17.71 / $40.11	Professional		$11.95	$17.71	$40.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $9.19 / $10.64	Professional		$9.19	$9.19	$10.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.79 / $36.95 / $293.00	Facility		$16.79	$36.95	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.57 / $12.07 / $39.29	Professional		$7.57	$12.07	$39.29
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $39.68 / $85.50 / $196.97	Facility		$39.68	$85.50	$196.97
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $13.57 / $73.54	Professional		$9.50	$13.57	$73.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.60 / $20.12 / $51.29	Facility		$10.60	$20.12	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $18.14 / $25.46	Professional		$10.19	$18.14	$25.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $13.62 / $15.32 / $24.51	Professional		$13.62	$15.32	$24.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.26 / $15.32 / $35.24	Professional		$12.26	$15.32	$35.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $162.72 / $206.91 / $206.91	Facility		$162.72	$206.91	$206.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $9.19 / $9.19	Professional		$9.19	$9.19	$9.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.72 / $18.32 / $43.79	Facility		$12.72	$18.32	$43.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $15.32 / $30.64	Professional		$10.19	$15.32	$30.64
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $53.77 / $53.77 / $53.77	Professional		$53.77	$53.77	$53.77
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $12.26 / $15.32 / $21.45	Professional		$12.26	$15.32	$21.45
United Facility/Professional Professional Modifier Low / Median / High Price $6.43 / $9.11 / $31.56	Professional		$6.43	$9.11	$31.56