Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.07 / $91.46 / $139.61	Facility		$13.07	$91.46	$139.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.15 / $11.15 / $25.48	Professional		$9.15	$11.15	$25.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.20 / $7.43 / $11.15	Professional		$6.20	$7.43	$11.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.58 / $29.88 / $293.00	Facility		$13.58	$29.88	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.12 / $9.76 / $28.73	Professional		$6.12	$9.76	$28.73
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $32.09 / $78.30 / $160.97	Facility		$32.09	$78.30	$160.97
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $7.68 / $10.97 / $59.47	Professional		$7.68	$10.97	$59.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.58 / $16.26 / $41.46	Facility		$8.58	$16.26	$41.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.35 / $14.67 / $20.53	Professional		$8.35	$14.67	$20.53
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $11.01 / $12.39 / $19.82	Professional		$11.01	$12.39	$19.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $12.39 / $27.01	Professional		$9.91	$12.39	$27.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $40.85 / $60.00 / $60.00	Facility		$40.85	$60.00	$60.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $15.49 / $23.38	Professional		$11.15	$15.49	$23.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $7.43 / $7.43	Professional		$7.43	$7.43	$7.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.27 / $14.87 / $37.40	Facility		$10.27	$14.87	$37.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.35 / $12.39 / $24.78	Professional		$8.35	$12.39	$24.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $43.48 / $43.48 / $43.48	Professional		$43.48	$43.48	$43.48
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $12.39 / $17.35	Professional		$9.91	$12.39	$17.35
United Facility/Professional Professional Modifier Low / Median / High Price $5.20 / $7.43 / $23.96	Professional		$5.20	$7.43	$23.96