Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.27 / $93.28 / $233.92	Facility		$15.27	$93.28	$233.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.29 / $7.72 / $29.30	Professional		$7.29	$7.72	$29.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $5.83 / $6.08	Professional		$4.47	$5.83	$6.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.65 / $23.44 / $293.00	Facility		$10.65	$23.44	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.20 / $6.69 / $21.78	Professional		$4.20	$6.69	$21.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $22.65 / $65.40 / $111.70	Facility		$22.65	$65.40	$111.70
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $5.26 / $7.52 / $46.66	Professional		$5.26	$7.52	$46.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.32 / $12.77 / $31.82	Facility		$6.32	$12.77	$31.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $11.15 / $17.34	Professional		$5.73	$11.15	$17.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $7.63 / $9.72 / $15.55	Professional		$7.63	$9.72	$15.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7.78 / $9.72 / $22.03	Professional		$7.78	$9.72	$22.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $60.00 / $60.00	Facility		$50.00	$60.00	$60.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $16.52 / $34.40	Professional		$13.26	$16.52	$34.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.83 / $5.83 / $5.83	Professional		$5.83	$5.83	$5.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.29 / $10.68 / $24.14	Facility		$7.29	$10.68	$24.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.19 / $9.72 / $18.23	Professional		$6.19	$9.72	$18.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $34.11 / $34.11 / $34.11	Professional		$34.11	$34.11	$34.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $7.78 / $9.72 / $13.61	Professional		$7.78	$9.72	$13.61
United Facility/Professional Professional Modifier Low / Median / High Price $4.08 / $5.05 / $16.97	Professional		$4.08	$5.05	$16.97