Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.40 / $53.24 / $118.46	Facility		$13.40	$53.24	$118.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.60 / $10.93 / $41.60	Professional		$8.60	$10.93	$41.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.74 / $6.88 / $8.78	Professional		$5.74	$6.88	$8.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.57 / $27.67 / $293.00	Facility		$12.57	$27.67	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.67 / $9.03 / $28.75	Professional		$5.67	$9.03	$28.75
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $29.71 / $76.78 / $149.08	Facility		$29.71	$76.78	$149.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $7.11 / $10.16 / $55.06	Professional		$7.11	$10.16	$55.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.93 / $15.07 / $38.42	Facility		$7.93	$15.07	$38.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $11.54 / $20.48	Professional		$7.43	$11.54	$20.48
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $11.47 / $18.35	Professional		$10.19	$11.47	$18.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.18 / $11.47 / $25.58	Professional		$9.18	$11.47	$25.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $69.00 / $69.00	Facility		$50.00	$69.00	$69.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.88 / $6.88 / $6.88	Professional		$6.88	$6.88	$6.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.52 / $13.73 / $32.78	Facility		$9.52	$13.73	$32.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $11.47 / $22.94	Professional		$7.65	$11.47	$22.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $40.25 / $40.25 / $40.25	Professional		$40.25	$40.25	$40.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $9.18 / $11.47 / $16.05	Professional		$9.18	$11.47	$16.05
United Facility/Professional Facility Modifier Low / Median / High Price $4.82 / $11.47 / $11.47	Facility		$4.82	$11.47	$11.47
United Facility/Professional Professional Modifier Low / Median / High Price $4.82 / $6.83 / $22.18	Professional		$4.82	$6.83	$22.18