Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $82.37 / $135.75	Facility		$10.00	$82.37	$135.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.25 / $9.72 / $69.97	Professional		$8.25	$9.72	$69.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.73 / $6.70 / $6.70	Professional		$3.73	$6.70	$6.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.23 / $26.92 / $293.00	Facility		$12.23	$26.92	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.51 / $8.78 / $26.00	Professional		$5.51	$8.78	$26.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $28.90 / $75.50 / $145.08	Facility		$28.90	$75.50	$145.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $9.88 / $53.57	Professional		$6.92	$9.88	$53.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.72 / $14.65 / $37.34	Facility		$7.72	$14.65	$37.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.22 / $13.63 / $19.88	Professional		$7.22	$13.63	$19.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $9.92 / $11.16 / $17.86	Professional		$9.92	$11.16	$17.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.93 / $11.16 / $24.33	Professional		$8.93	$11.16	$24.33
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 $10.03 / $13.95 / $22.14	Professional		$10.03	$13.95	$22.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.69 / $6.69 / $6.69	Professional		$6.69	$6.69	$6.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.26 / $13.35 / $31.90	Facility		$9.26	$13.35	$31.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.42 / $11.16 / $22.32	Professional		$7.42	$11.16	$22.32
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $39.17 / $39.17 / $39.17	Professional		$39.17	$39.17	$39.17
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $8.93 / $11.16 / $15.62	Professional		$8.93	$11.16	$15.62
United Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $6.70 / $21.59	Professional		$4.69	$6.70	$21.59