Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $52.48 / $154.88	Facility		$18.20	$52.48	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.85 / $100.00	Professional		$10.96	$15.85	$100.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $10.23 / $10.72	Professional		$9.33	$10.23	$10.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $35.48 / $77.62	Facility		$8.71	$35.48	$77.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $13.18 / $43.65	Professional		$7.59	$13.18	$43.65
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $81.28 / $204.17	Facility		$34.67	$81.28	$204.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $17.38 / $44.67	Professional		$12.30	$17.38	$44.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $25.70 / $56.23	Facility		$10.23	$25.70	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $15.49 / $25.70	Professional		$9.12	$15.49	$25.70
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $15.49 / $24.55	Professional		$13.49	$15.49	$24.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $15.49 / $34.67	Professional		$12.30	$15.49	$34.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $18.20 / $18.20	Professional		$9.12	$18.20	$18.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $18.20 / $46.77	Facility		$12.59	$18.20	$46.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $14.13 / $34.67	Professional		$9.12	$14.13	$34.67
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $15.14 / $22.91	Professional		$12.30	$15.14	$22.91
United Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $9.12 / $15.49	Facility		$6.92	$9.12	$15.49
United Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $9.12 / $41.69	Professional		$6.46	$9.12	$41.69