Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.25 / $66.19 / $260.52	Facility		$11.25	$66.19	$260.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.43 / $29.56 / $49.38	Professional		$15.43	$29.56	$49.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.34 / $10.89 / $12.60	Professional		$8.34	$10.89	$12.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.88 / $43.75 / $293.00	Facility		$19.88	$43.75	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.96 / $14.29 / $41.57	Professional		$8.96	$14.29	$41.57
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $44.60 / $87.40 / $224.02	Facility		$44.60	$87.40	$224.02
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $16.07 / $60.26	Professional		$11.25	$16.07	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.56 / $23.82 / $60.72	Facility		$12.56	$23.82	$60.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $22.00 / $32.53	Professional		$11.88	$22.00	$32.53
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $15.82 / $18.14 / $29.02	Professional		$15.82	$18.14	$29.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.51 / $18.14 / $39.90	Professional		$14.51	$18.14	$39.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $71.28 / $54,379.00 / $54,379.00	Facility		$71.28	$54,379.00	$54,379.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $22.68 / $34.32	Professional		$16.32	$22.68	$34.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.88 / $10.88 / $10.88	Professional		$10.88	$10.88	$10.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.05 / $21.70 / $49.81	Facility		$15.05	$21.70	$49.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.06 / $18.14 / $36.28	Professional		$12.06	$18.14	$36.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $63.67 / $63.67 / $63.67	Professional		$63.67	$63.67	$63.67
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.51 / $18.14 / $25.40	Professional		$14.51	$18.14	$25.40
United Facility/Professional Professional Modifier Low / Median / High Price $7.62 / $10.88 / $35.07	Professional		$7.62	$10.88	$35.07