Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $54.95 / $134.90	Facility		$14.45	$54.95	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $14.13 / $47.86	Professional		$8.91	$14.13	$47.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $8.32 / $8.51	Professional		$7.41	$8.32	$8.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $28.84 / $61.66	Facility		$7.08	$28.84	$61.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $10.72 / $36.31	Professional		$6.17	$10.72	$36.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $75.86 / $165.96	Facility		$28.18	$75.86	$165.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $14.13 / $35.48	Professional		$9.77	$14.13	$35.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $21.38 / $51.29	Facility		$8.32	$21.38	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $12.59 / $20.42	Professional		$7.41	$12.59	$20.42
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.30 / $19.95	Professional		$10.96	$12.30	$19.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.30 / $28.18	Professional		$10.00	$12.30	$28.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $14.79 / $14.79	Professional		$7.41	$14.79	$14.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $14.79 / $37.15	Facility		$10.23	$14.79	$37.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $11.48 / $28.18	Professional		$7.41	$11.48	$28.18
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.59 / $20.89	Professional		$10.00	$12.59	$20.89
United Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $7.41 / $12.30	Facility		$5.62	$7.41	$12.30
United Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $7.41 / $24.55	Professional		$5.25	$7.41	$24.55