Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $34.67 / $117.49	Facility		$10.47	$34.67	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $12.02 / $46.77	Professional		$8.13	$12.02	$46.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $7.24 / $22.39	Professional		$5.50	$7.24	$22.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $28.18 / $60.26	Facility		$6.92	$28.18	$60.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $25.70 / $83.18	Professional		$5.89	$25.70	$83.18
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $72.44 / $162.18	Facility		$27.54	$72.44	$162.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $13.80 / $34.67	Professional		$9.55	$13.80	$34.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $20.89 / $44.67	Facility		$8.13	$20.89	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $19.50 / $40.74	Professional		$9.12	$19.50	$40.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $12.02 / $19.50	Professional		$10.47	$12.02	$19.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.02 / $27.54	Professional		$9.55	$12.02	$27.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $14.45 / $20.89	Professional		$7.24	$14.45	$20.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $16.60 / $37.15	Facility		$13.49	$16.60	$37.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $18.62 / $50.12	Professional		$10.96	$18.62	$50.12
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Professional		$42.66	$42.66	$42.66
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $23.44 / $38.90	Professional		$16.98	$23.44	$38.90
United Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $8.51 / $12.02	Facility		$5.37	$8.51	$12.02
United Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.08 / $26.30	Professional		$5.01	$7.08	$26.30