Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.60 / $86.81 / $409.50	Facility		$14.60	$86.81	$409.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.24 / $7.73 / $28.96	Professional		$6.24	$7.73	$28.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $5.05 / $5.84	Professional		$4.21	$5.05	$5.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.21 / $20.28 / $293.00	Facility		$9.21	$20.28	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.15 / $6.62 / $19.55	Professional		$4.15	$6.62	$19.55
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $21.78 / $64.69 / $110.47	Facility		$21.78	$64.69	$110.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $5.21 / $7.44 / $40.36	Professional		$5.21	$7.44	$40.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.82 / $11.05 / $28.17	Facility		$5.82	$11.05	$28.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.52 / $10.03 / $13.97	Professional		$5.52	$10.03	$13.97
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $7.44 / $8.41 / $13.46	Professional		$7.44	$8.41	$13.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $8.41 / $19.00	Professional		$6.73	$8.41	$19.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $58.06 / $72.93 / $100.00	Facility		$58.06	$72.93	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.04 / $5.04 / $5.04	Professional		$5.04	$5.04	$5.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.97 / $10.09 / $25.49	Facility		$6.97	$10.09	$25.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.52 / $8.41 / $16.82	Professional		$5.52	$8.41	$16.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $8.41 / $11.77	Professional		$6.73	$8.41	$11.77
United Facility/Professional Facility Modifier Low / Median / High Price $3.78 / $5.05 / $6.22	Facility		$3.78	$5.05	$6.22
United Facility/Professional Professional Modifier Low / Median / High Price $3.53 / $4.93 / $14.68	Professional		$3.53	$4.93	$14.68