Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.15 / $345.00 / $852.32	Facility		$29.15	$345.00	$852.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $10.90 / $66.36	Professional		$8.26	$10.90	$66.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.16 / $5.16 / $7.17	Professional		$5.16	$5.16	$7.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.31 / $24.89 / $293.00	Facility		$11.31	$24.89	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $8.13 / $22.38	Professional		$5.09	$8.13	$22.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $26.73 / $71.50 / $134.11	Facility		$26.73	$71.50	$134.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $6.41 / $9.15 / $49.54	Professional		$6.41	$9.15	$49.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.16 / $13.55 / $34.56	Facility		$7.16	$13.55	$34.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.79 / $12.39 / $18.07	Professional		$6.79	$12.39	$18.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $8.98 / $10.32 / $16.51	Professional		$8.98	$10.32	$16.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $10.32 / $23.74	Professional		$8.26	$10.32	$23.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $88.36 / $112.35 / $112.35	Facility		$88.36	$112.35	$112.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14.14 / $14.70 / $48.00	Professional		$14.14	$14.70	$48.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.19 / $6.19 / $6.19	Professional		$6.19	$6.19	$6.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.57 / $12.38 / $29.51	Facility		$8.57	$12.38	$29.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.96 / $10.32 / $20.64	Professional		$6.96	$10.32	$20.64
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $36.22 / $36.22	Professional		$36.22	$36.22	$36.22
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $10.32 / $14.45	Professional		$8.26	$10.32	$14.45
United Facility/Professional Professional Modifier Low / Median / High Price $4.33 / $6.19 / $19.97	Professional		$4.33	$6.19	$19.97