Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $66.07 / $141.25	Facility		$22.91	$66.07	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.02 / $85.11	Professional		$8.91	$12.02	$85.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $7.76 / $8.51	Professional		$7.76	$7.76	$8.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $30.20 / $64.57	Facility		$7.41	$30.20	$64.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $10.96 / $42.66	Professional		$6.31	$10.96	$42.66
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $75.86 / $173.78	Facility		$28.84	$75.86	$173.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $14.79 / $37.15	Professional		$10.23	$14.79	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $21.38 / $46.77	Facility		$8.71	$21.38	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $12.88 / $21.38	Professional		$7.76	$12.88	$21.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $12.88 / $20.42	Professional		$11.48	$12.88	$20.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.88 / $29.51	Professional		$10.23	$12.88	$29.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $15.49 / $15.49	Professional		$7.76	$15.49	$15.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $15.49 / $38.02	Facility		$10.72	$15.49	$38.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $12.02 / $29.51	Professional		$7.76	$12.02	$29.51
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $13.18 / $21.88	Professional		$10.23	$13.18	$21.88
United Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $7.76 / $12.88	Facility		$5.75	$7.76	$12.88
United Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $7.76 / $25.70	Professional		$5.37	$7.76	$25.70