Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.31 / $133.81 / $214.90	Facility		$24.31	$133.81	$214.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $20.81 / $69.22	Professional		$16.64	$20.81	$69.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.57 / $12.49 / $18.73	Professional		$9.57	$12.49	$18.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.80 / $50.19 / $293.00	Facility		$22.80	$50.19	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.28 / $16.39 / $50.22	Professional		$10.28	$16.39	$50.22
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $47.03 / $89.10 / $264.83	Facility		$47.03	$89.10	$264.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.90 / $18.43 / $59.71	Professional		$12.90	$18.43	$59.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.40 / $27.33 / $69.68	Facility		$14.40	$27.33	$69.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.58 / $25.19 / $36.74	Professional		$13.58	$25.19	$36.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $18.50 / $20.81 / $33.29	Professional		$18.50	$20.81	$33.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $20.81 / $47.16	Professional		$16.64	$20.81	$47.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $99.06 / $109.00	Facility		$75.00	$99.06	$109.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $26.01 / $41.29	Professional		$18.73	$26.01	$41.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $12.48 / $12.48	Professional		$12.48	$12.48	$12.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.27 / $24.08 / $56.08	Facility		$17.27	$24.08	$56.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $20.81 / $41.62	Professional		$13.91	$20.81	$41.62
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $73.04 / $73.04 / $73.04	Professional		$73.04	$73.04	$73.04
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $18.87 / $25.90	Professional		$16.64	$18.87	$25.90
United Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $12.49 / $40.24	Professional		$8.74	$12.49	$40.24