Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.90 / $113.25 / $207.76	Facility		$12.90	$113.25	$207.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.87 / $20.25 / $38.92	Professional		$17.87	$20.25	$38.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.17 / $13.40 / $17.12	Professional		$11.17	$13.40	$17.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.89 / $37.19 / $293.00	Facility		$16.89	$37.19	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $13.62 / $110.33	Professional		$11.04	$13.62	$110.33
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $48.90 / $89.83 / $284.32	Facility		$48.90	$89.83	$284.32
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $13.85 / $19.79 / $64.09	Professional		$13.85	$19.79	$64.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.47 / $29.98 / $74.78	Facility		$15.47	$29.98	$74.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.18 / $27.26 / $57.96	Professional		$17.18	$27.26	$57.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $19.86 / $22.34 / $35.74	Professional		$19.86	$22.34	$35.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.87 / $22.34 / $49.83	Professional		$17.87	$22.34	$49.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $76.88 / $182.22 / $182.22	Facility		$76.88	$182.22	$182.22
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $20.11 / $44.11 / $71.83	Professional		$20.11	$44.11	$71.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.33 / $10.33 / $13.40	Professional		$10.33	$10.33	$13.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.22 / $26.81 / $63.86	Facility		$21.22	$26.81	$63.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.18 / $26.81 / $53.62	Professional		$17.18	$26.81	$53.62
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $78.41 / $78.41 / $78.41	Professional		$78.41	$78.41	$78.41
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $16.21 / $29.74 / $41.63	Professional		$16.21	$29.74	$41.63
United Facility/Professional Professional Modifier Low / Median / High Price $9.38 / $13.29 / $43.20	Professional		$9.38	$13.29	$43.20