Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.17 / $79.20 / $139.66	Facility		$8.17	$79.20	$139.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $12.25 / $33.64	Professional		$9.35	$12.25	$33.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $7.33 / $8.24	Professional		$4.59	$7.33	$8.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.05 / $33.14 / $293.00	Facility		$15.05	$33.14	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.79 / $10.82 / $30.00	Professional		$6.79	$10.82	$30.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $35.59 / $84.20 / $176.64	Facility		$35.59	$84.20	$176.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $12.16 / $65.95	Professional		$8.51	$12.16	$65.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.51 / $18.04 / $45.99	Facility		$9.51	$18.04	$45.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.03 / $16.22 / $22.99	Professional		$9.03	$16.22	$22.99
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $12.21 / $13.74 / $21.98	Professional		$12.21	$13.74	$21.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.99 / $13.74 / $30.65	Professional		$10.99	$13.74	$30.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $62.00 / $66.06 / $100.00	Facility		$62.00	$66.06	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12.37 / $17.18 / $27.25	Professional		$12.37	$17.18	$27.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $8.24 / $8.24	Professional		$8.24	$8.24	$8.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.40 / $16.43 / $42.90	Facility		$11.40	$16.43	$42.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.03 / $13.74 / $27.48	Professional		$9.03	$13.74	$27.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $48.22 / $48.22 / $48.22	Professional		$48.22	$48.22	$48.22
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.99 / $13.74 / $19.23	Professional		$10.99	$13.74	$19.23
United Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $8.17 / $26.57	Professional		$5.77	$8.17	$26.57