Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.46 / $99.75 / $463.50	Facility		$16.46	$99.75	$463.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $10.80 / $67.72	Professional		$8.02	$10.80	$67.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.40 / $6.48 / $7.50	Professional		$5.40	$6.48	$7.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.83 / $26.05 / $293.00	Facility		$11.83	$26.05	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.34 / $7.74 / $25.17	Professional		$5.34	$7.74	$25.17
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $27.97 / $73.69 / $140.43	Facility		$27.97	$73.69	$140.43
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $6.09 / $8.69 / $51.84	Professional		$6.09	$8.69	$51.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.49 / $14.18 / $36.15	Facility		$7.49	$14.18	$36.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.02 / $12.74 / $18.07	Professional		$7.02	$12.74	$18.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $10.80 / $17.28	Professional		$9.11	$10.80	$17.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.64 / $10.80 / $24.09	Professional		$8.64	$10.80	$24.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $64.17 / $80.61 / $100.00	Facility		$64.17	$80.61	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.48 / $6.48 / $6.48	Professional		$6.48	$6.48	$6.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.96 / $12.50 / $32.36	Facility		$8.96	$12.50	$32.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.02 / $10.80 / $21.60	Professional		$7.02	$10.80	$21.60
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $37.90 / $37.90	Professional		$37.90	$37.90	$37.90
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $8.64 / $10.80 / $15.12	Professional		$8.64	$10.80	$15.12
United Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $18.00 / $18.00	Facility		$18.00	$18.00	$18.00
United Facility/Professional Professional Modifier Low / Median / High Price $4.54 / $6.48 / $21.46	Professional		$4.54	$6.48	$21.46