Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $61.66 / $190.55	Facility		$12.88	$61.66	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.98 / $83.18	Professional		$14.13	$16.98	$83.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $11.22 / $12.88	Professional		$9.33	$11.22	$12.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $43.65 / $93.33	Facility		$10.72	$43.65	$93.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $16.22 / $52.48	Professional		$9.33	$16.22	$52.48
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $85.11 / $251.19	Facility		$42.66	$85.11	$251.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $21.38 / $54.95	Professional		$14.79	$21.38	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $31.62 / $69.18	Facility		$12.59	$31.62	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $19.05 / $30.90	Professional		$11.22	$19.05	$30.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $18.62 / $30.20	Professional		$16.60	$18.62	$30.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $18.62 / $41.69	Professional		$15.14	$18.62	$41.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $100.00	Facility		$89.13	$89.13	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $22.39 / $22.39	Professional		$11.22	$22.39	$22.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $22.39 / $56.23	Facility		$15.49	$22.39	$56.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $17.38 / $42.66	Professional		$11.22	$17.38	$42.66
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.05 / $31.62	Professional		$15.14	$19.05	$31.62
United Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $12.88 / $18.62	Facility		$8.51	$12.88	$18.62
United Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $11.22 / $37.15	Professional		$7.94	$11.22	$37.15