Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.00 / $39.00 / $104.64	Facility		$6.00	$39.00	$104.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $11.54 / $39.00	Professional		$9.61	$11.54	$39.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $6.48 / $11.66	Professional		$4.26	$6.48	$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 / $30.35	Professional		$6.39	$10.19	$30.35
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $33.54 / $80.50 / $166.43	Facility		$33.54	$80.50	$166.43
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 / $19.61	Professional		$8.58	$15.45	$19.61
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $7.10 / $12.95 / $20.72	Professional		$7.10	$12.95	$20.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.36 / $12.95 / $28.23	Professional		$10.36	$12.95	$28.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $61.51 / $61.51 / $80.00	Facility		$61.51	$61.51	$80.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11.66 / $16.19 / $25.68	Professional		$11.66	$16.19	$25.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.77 / $7.77 / $7.77	Professional		$7.77	$7.77	$7.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.74 / $14.25 / $33.38	Facility		$10.74	$14.25	$33.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.58 / $12.95 / $20.53	Professional		$8.58	$12.95	$20.53
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 $7.24 / $10.36 / $12.07	Professional		$7.24	$10.36	$12.07
United Facility/Professional Professional Modifier Low / Median / High Price $5.44 / $7.70 / $25.03	Professional		$5.44	$7.70	$25.03