Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.13 / $94.94 / $172.81	Facility		$20.13	$94.94	$172.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.28 / $11.68 / $25.90	Professional		$8.28	$11.68	$25.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.83 / $6.64 / $11.66	Professional		$5.83	$6.64	$11.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.19 / $31.24 / $293.00	Facility		$14.19	$31.24	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.39 / $10.19 / $29.82	Professional		$6.39	$10.19	$29.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $33.54 / $80.90 / $168.24	Facility		$33.54	$80.90	$168.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $11.46 / $62.16	Professional		$8.02	$11.46	$62.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.94 / $17.01 / $43.36	Facility		$8.94	$17.01	$43.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.58 / $15.45 / $21.35	Professional		$8.58	$15.45	$21.35
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $11.06 / $12.95 / $20.72	Professional		$11.06	$12.95	$20.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.36 / $12.96 / $29.35	Professional		$10.36	$12.96	$29.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $70.00 / $70.00	Facility		$55.00	$70.00	$70.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11.66 / $16.19 / $25.68	Professional		$11.66	$16.19	$25.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.53 / $14.89 / $37.15	Facility		$10.53	$14.89	$37.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.58 / $12.95 / $25.90	Professional		$8.58	$12.95	$25.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $45.45 / $45.45 / $45.45	Professional		$45.45	$45.45	$45.45
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.36 / $11.66 / $15.48	Professional		$10.36	$11.66	$15.48
United Facility/Professional Professional Modifier Low / Median / High Price $5.44 / $7.77 / $25.87	Professional		$5.44	$7.77	$25.87