Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $35.48 / $239.88	Facility		$12.88	$35.48	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $6.03 / $38.02	Professional		$3.98	$6.03	$38.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $2.88 / $2.88	Professional		$2.88	$2.88	$2.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.31 / $13.18 / $28.84	Facility		$3.31	$13.18	$28.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $4.90 / $16.98	Professional		$2.82	$4.90	$16.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $52.48 / $213.80	Facility		$17.78	$52.48	$213.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $6.46 / $16.60	Professional		$4.57	$6.46	$16.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $9.55 / $20.89	Facility		$3.80	$9.55	$20.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $5.75 / $9.33	Professional		$3.47	$5.75	$9.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.75 / $9.12	Professional		$5.13	$5.75	$9.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $5.75 / $12.88	Professional		$4.57	$5.75	$12.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $5.75 / $5.75	Professional		$2.88	$5.75	$5.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $6.92 / $17.38	Facility		$4.57	$6.92	$17.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $5.37 / $13.49	Professional		$3.47	$5.37	$13.49
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $5.89 / $9.77	Professional		$4.57	$5.89	$9.77
United Facility/Professional Facility Modifier Low / Median / High Price $2.57 / $3.89 / $331.13	Facility		$2.57	$3.89	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $3.47 / $11.48	Professional		$2.40	$3.47	$11.48