Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $79.43 / $173.78	Facility		$20.89	$79.43	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $19.05 / $107.15	Professional		$12.02	$19.05	$107.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $11.22	Professional		$7.94	$7.94	$11.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $37.15 / $81.28	Facility		$9.12	$37.15	$81.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $13.80 / $45.71	Professional		$7.94	$13.80	$45.71
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $85.11 / $218.78	Facility		$36.31	$85.11	$218.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $18.62 / $46.77	Professional		$12.88	$18.62	$46.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $26.92 / $58.88	Facility		$10.72	$26.92	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $16.22 / $26.92	Professional		$9.55	$16.22	$26.92
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.22 / $25.70	Professional		$14.13	$16.22	$25.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.22 / $35.48	Professional		$12.88	$16.22	$35.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $19.50 / $19.50	Professional		$9.55	$19.50	$19.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $19.50 / $47.86	Facility		$13.49	$19.50	$47.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $15.14 / $36.31	Professional		$9.55	$15.14	$36.31
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.22 / $27.54	Professional		$12.88	$16.22	$27.54
United Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $9.55 / $16.22	Facility		$7.24	$9.55	$16.22
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $9.55 / $31.62	Professional		$6.76	$9.55	$31.62