Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.65 / $109.50 / $168.26	Facility		$21.65	$109.50	$168.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.18 / $16.02 / $23.22	Professional		$10.18	$16.02	$23.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.86 / $6.86 / $6.86	Professional		$6.86	$6.86	$6.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.02 / $33.07 / $293.00	Facility		$15.02	$33.07	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $10.81 / $35.15	Professional		$6.77	$10.81	$35.15
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $35.51 / $84.60 / $180.39	Facility		$35.51	$84.60	$180.39
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $12.14 / $65.81	Professional		$8.50	$12.14	$65.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.50 / $18.00 / $47.30	Facility		$9.50	$18.00	$47.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $16.52 / $24.09	Professional		$8.91	$16.52	$24.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $11.96 / $13.71 / $21.94	Professional		$11.96	$13.71	$21.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.97 / $13.71 / $30.58	Professional		$10.97	$13.71	$30.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $66.06 / $109.00	Facility		$50.00	$66.06	$109.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.22 / $8.22 / $8.22	Professional		$8.22	$8.22	$8.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.37 / $15.86 / $35.64	Facility		$11.37	$15.86	$35.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.03 / $13.71 / $27.42	Professional		$9.03	$13.71	$27.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $48.12 / $48.12 / $48.12	Professional		$48.12	$48.12	$48.12
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.97 / $13.71 / $19.19	Professional		$10.97	$13.71	$19.19
United Facility/Professional Professional Modifier Low / Median / High Price $5.76 / $8.16 / $26.34	Professional		$5.76	$8.16	$26.34