Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $74.63 / $204.00	Facility		$14.00	$74.63	$204.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.32 / $20.94 / $54.45	Professional		$10.32	$20.94	$54.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $7.20 / $8.33	Professional		$6.00	$7.20	$8.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.15 / $28.94 / $293.00	Facility		$13.15	$28.94	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $9.46 / $28.56	Professional		$5.92	$9.46	$28.56
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $31.08 / $77.09 / $156.05	Facility		$31.08	$77.09	$156.05
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $7.44 / $10.63 / $57.60	Professional		$7.44	$10.63	$57.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $15.76 / $40.17	Facility		$8.32	$15.76	$40.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.88 / $14.29 / $20.12	Professional		$7.88	$14.29	$20.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10.51 / $12.00 / $19.20	Professional		$10.51	$12.00	$19.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $12.00 / $26.16	Professional		$9.60	$12.00	$26.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $69.64 / $88.55 / $88.55	Facility		$69.64	$88.55	$88.55
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10.80 / $15.00 / $23.81	Professional		$10.80	$15.00	$23.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $7.20 / $7.20	Professional		$7.20	$7.20	$7.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.96 / $14.36 / $34.29	Facility		$9.96	$14.36	$34.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.88 / $12.00 / $24.00	Professional		$7.88	$12.00	$24.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $42.12 / $42.12 / $42.12	Professional		$42.12	$42.12	$42.12
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $12.00 / $16.80	Professional		$9.60	$12.00	$16.80
United Facility/Professional Professional Modifier Low / Median / High Price $5.04 / $7.14 / $23.05	Professional		$5.04	$7.14	$23.05