Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.62 / $71.05 / $133.22	Facility		$13.62	$71.05	$133.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.58 / $12.29 / $25.80	Professional		$8.58	$12.29	$25.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.74 / $7.74 / $8.96	Professional		$7.74	$7.74	$8.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $31.11 / $293.00	Facility		$14.13	$31.11	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.37 / $10.17 / $30.04	Professional		$6.37	$10.17	$30.04
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $33.40 / $80.23 / $165.88	Facility		$33.40	$80.23	$165.88
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $11.43 / $61.92	Professional		$8.00	$11.43	$61.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.92 / $16.95 / $43.21	Facility		$8.92	$16.95	$43.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.49 / $15.63 / $22.89	Professional		$8.49	$15.63	$22.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $11.47 / $12.90 / $20.64	Professional		$11.47	$12.90	$20.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.32 / $12.90 / $29.23	Professional		$10.32	$12.90	$29.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $70.00 / $90.95	Facility		$55.00	$70.00	$90.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.74 / $7.74 / $7.74	Professional		$7.74	$7.74	$7.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.71 / $15.48 / $36.88	Facility		$10.71	$15.48	$36.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.58 / $12.90 / $25.80	Professional		$8.58	$12.90	$25.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $45.27 / $45.27 / $45.27	Professional		$45.27	$45.27	$45.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.32 / $12.90 / $18.05	Professional		$10.32	$12.90	$18.05
United Facility/Professional Facility Modifier Low / Median / High Price $5.81 / $8.85 / $9.53	Facility		$5.81	$8.85	$9.53
United Facility/Professional Professional Modifier Low / Median / High Price $5.42 / $7.68 / $24.78	Professional		$5.42	$7.68	$24.78