Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $70.79 / $213.80	Facility		$16.60	$70.79	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $9.33 / $117.49	Professional		$7.08	$9.33	$117.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $5.62 / $5.62	Professional		$4.68	$5.62	$5.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $21.88 / $46.77	Facility		$5.37	$21.88	$46.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $6.92 / $19.95	Professional		$3.98	$6.92	$19.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $60.26 / $125.89	Facility		$21.38	$60.26	$125.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.72 / $27.54	Professional		$7.59	$10.72	$27.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $15.85 / $34.67	Facility		$6.31	$15.85	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $7.41 / $14.45	Professional		$5.37	$7.41	$14.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $9.33 / $15.14	Professional		$2.63	$9.33	$15.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $9.33 / $21.38	Professional		$7.59	$9.33	$21.38
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 $5.62 / $11.22 / $11.22	Professional		$5.62	$11.22	$11.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $11.22 / $28.18	Facility		$7.76	$11.22	$28.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.41 / $21.38	Professional		$5.01	$7.41	$21.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Professional		$33.11	$33.11	$33.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $3.63 / $9.33	Professional		$2.63	$3.63	$9.33
United Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $5.62 / $9.33	Facility		$4.27	$5.62	$9.33
United Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.62 / $19.05	Professional		$3.98	$5.62	$19.05