Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.97 / $69.25 / $107.14	Facility		$13.97	$69.25	$107.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.93 / $11.99 / $23.98	Professional		$9.93	$11.99	$23.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.62 / $7.94 / $9.19	Professional		$6.62	$7.94	$9.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.51 / $31.93 / $293.00	Facility		$14.51	$31.93	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.54 / $10.43 / $30.41	Professional		$6.54	$10.43	$30.41
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $34.29 / $82.71 / $174.52	Facility		$34.29	$82.71	$174.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $11.72 / $63.55	Professional		$8.19	$11.72	$63.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.11 / $17.45 / $44.34	Facility		$9.11	$17.45	$44.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $15.95 / $23.49	Professional		$8.69	$15.95	$23.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $11.40 / $13.24 / $21.18	Professional		$11.40	$13.24	$21.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.59 / $13.24 / $29.13	Professional		$10.59	$13.24	$29.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $62.89 / $62.89 / $80.00	Facility		$62.89	$62.89	$80.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11.92 / $15.95 / $25.37	Professional		$11.92	$15.95	$25.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $7.94	Professional		$7.94	$7.94	$7.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.76 / $13.90 / $33.10	Facility		$10.76	$13.90	$33.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.81 / $13.24 / $26.48	Professional		$8.81	$13.24	$26.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $46.47 / $46.47 / $46.47	Professional		$46.47	$46.47	$46.47
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.59 / $11.92 / $15.96	Professional		$10.59	$11.92	$15.96
United Facility/Professional Professional Modifier Low / Median / High Price $5.56 / $7.94 / $25.61	Professional		$5.56	$7.94	$25.61