Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.79 / $74.26 / $146.99	Facility		$15.79	$74.26	$146.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $14.87 / $35.15	Professional		$10.02	$14.87	$35.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $8.11 / $8.11	Professional		$8.11	$8.11	$8.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.81 / $32.61 / $293.00	Facility		$14.81	$32.61	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $10.65 / $34.58	Professional		$6.68	$10.65	$34.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $35.02 / $82.32 / $173.70	Facility		$35.02	$82.32	$173.70
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $8.38 / $11.97 / $64.90	Professional		$8.38	$11.97	$64.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.35 / $17.76 / $45.27	Facility		$9.35	$17.76	$45.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $16.26 / $24.09	Professional		$8.91	$16.26	$24.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $11.81 / $13.52 / $21.63	Professional		$11.81	$13.52	$21.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.82 / $13.52 / $30.00	Professional		$10.82	$13.52	$30.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $36.29 / $81.00 / $81.00	Facility		$36.29	$81.00	$81.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $8.11 / $8.11	Professional		$8.11	$8.11	$8.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.21 / $16.18 / $38.61	Facility		$11.21	$16.18	$38.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.03 / $13.52 / $27.04	Professional		$9.03	$13.52	$27.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $47.45 / $47.45 / $47.45	Professional		$47.45	$47.45	$47.45
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.82 / $13.52 / $18.93	Professional		$10.82	$13.52	$18.93
United Facility/Professional Facility Modifier Low / Median / High Price $6.08 / $9.27 / $9.97	Facility		$6.08	$9.27	$9.97
United Facility/Professional Professional Modifier Low / Median / High Price $5.68 / $8.03 / $26.90	Professional		$5.68	$8.03	$26.90