Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.61 / $111.75 / $178.57	Facility		$20.61	$111.75	$178.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $12.73 / $24.70	Professional		$9.27	$12.73	$24.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.14 / $8.56 / $12.84	Professional		$7.14	$8.56	$12.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.64 / $34.42 / $293.00	Facility		$15.64	$34.42	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.04 / $11.24 / $33.11	Professional		$7.04	$11.24	$33.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $38.01 / $84.90 / $187.64	Facility		$38.01	$84.90	$187.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $8.85 / $12.64 / $38.65	Professional		$8.85	$12.64	$38.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.88 / $18.75 / $49.24	Facility		$9.88	$18.75	$49.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.34 / $17.22 / $25.30	Professional		$9.34	$17.22	$25.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $14.27 / $22.83	Professional		$12.57	$14.27	$22.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.42 / $14.27 / $31.39	Professional		$11.42	$14.27	$31.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $51.71 / $74.00 / $74.00	Facility		$51.71	$74.00	$74.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16.34 / $19.45 / $29.23	Professional		$16.34	$19.45	$29.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.56 / $8.56 / $8.56	Professional		$8.56	$8.56	$8.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.85 / $17.12 / $40.78	Facility		$11.85	$17.12	$40.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $14.27 / $28.54	Professional		$9.51	$14.27	$28.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $50.08 / $50.08 / $50.08	Professional		$50.08	$50.08	$50.08
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $11.42 / $14.27 / $19.98	Professional		$11.42	$14.27	$19.98
United Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $8.56 / $27.59	Professional		$5.99	$8.56	$27.59