Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.17 / $78.56 / $129.02	Facility		$8.17	$78.56	$129.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.25 / $12.95 / $28.85	Professional		$9.25	$12.95	$28.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.69 / $8.73 / $13.10	Professional		$6.69	$8.73	$13.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.94 / $35.09 / $293.00	Facility		$15.94	$35.09	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.18 / $11.46 / $31.05	Professional		$7.18	$11.46	$31.05
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $37.68 / $84.90 / $187.04	Facility		$37.68	$84.90	$187.04
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $12.88 / $69.84	Professional		$9.02	$12.88	$69.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.07 / $19.11 / $48.72	Facility		$10.07	$19.11	$48.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.73 / $17.38 / $24.23	Professional		$9.73	$17.38	$24.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $12.93 / $14.55 / $23.28	Professional		$12.93	$14.55	$23.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.64 / $14.56 / $32.01	Professional		$11.64	$14.56	$32.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $56.03 / $71.25 / $100.00	Facility		$56.03	$71.25	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13.10 / $18.19 / $28.87	Professional		$13.10	$18.19	$28.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.73 / $8.73 / $8.73	Professional		$8.73	$8.73	$8.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.07 / $17.00 / $42.47	Facility		$12.07	$17.00	$42.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.74 / $15.23 / $29.10	Professional		$9.74	$15.23	$29.10
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $51.07 / $51.07 / $51.07	Professional		$51.07	$51.07	$51.07
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $11.64 / $14.55 / $20.37	Professional		$11.64	$14.55	$20.37
United Facility/Professional Professional Modifier Low / Median / High Price $6.11 / $8.73 / $28.35	Professional		$6.11	$8.73	$28.35