Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $38.90 / $91.20	Facility		$9.12	$38.90	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.94 / $53.70	Professional		$6.03	$7.94	$53.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $4.90 / $4.90	Professional		$4.90	$4.90	$4.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $18.62 / $40.74	Facility		$4.57	$18.62	$40.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $6.92 / $23.44	Professional		$3.98	$6.92	$23.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $56.23 / $109.65	Facility		$18.20	$56.23	$109.65
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $9.12 / $23.44	Professional		$6.46	$9.12	$23.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $13.49 / $29.51	Facility		$5.37	$13.49	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $8.13 / $13.49	Professional		$4.79	$8.13	$13.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $8.13 / $12.88	Professional		$7.24	$8.13	$12.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $8.13 / $17.78	Professional		$6.46	$8.13	$17.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $9.77 / $9.77	Professional		$4.79	$9.77	$9.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $9.77 / $23.44	Facility		$6.76	$9.77	$23.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $7.59 / $18.62	Professional		$4.79	$7.59	$18.62
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $8.13 / $13.80	Professional		$6.46	$8.13	$13.80
United Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $4.79 / $8.13	Facility		$3.63	$4.79	$8.13
United Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $4.79 / $16.22	Professional		$3.39	$4.79	$16.22