Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.90 / $24.75 / $131.88	Facility		$2.90	$24.75	$131.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.69 / $16.17 / $24.69	Professional		$11.69	$16.17	$24.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.99 / $10.79 / $12.48	Professional		$8.99	$10.79	$12.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.70 / $43.37 / $293.00	Facility		$19.70	$43.37	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.88 / $14.16 / $436.96	Professional		$8.88	$14.16	$436.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $45.10 / $87.40 / $231.01	Facility		$45.10	$87.40	$231.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $11.14 / $15.92 / $62.11	Professional		$11.14	$15.92	$62.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.44 / $23.61 / $60.20	Facility		$12.44	$23.61	$60.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.67 / $21.24 / $28.33	Professional		$11.67	$21.24	$28.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $15.98 / $17.98 / $28.77	Professional		$15.98	$17.98	$28.77
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $29.24 / $29.24 / $29.24	Professional		$29.24	$29.24	$29.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.38 / $17.98 / $39.20	Professional		$14.38	$17.98	$39.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $44.05 / $86.10 / $86.10	Facility		$44.05	$86.10	$86.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.79 / $10.79 / $10.79	Professional		$10.79	$10.79	$10.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.91 / $19.78 / $46.34	Facility		$14.91	$19.78	$46.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.69 / $17.98 / $28.33	Professional		$11.69	$17.98	$28.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.38 / $16.30 / $22.37	Professional		$14.38	$16.30	$22.37
United Facility/Professional Professional Modifier Low / Median / High Price $7.55 / $10.79 / $34.54	Professional		$7.55	$10.79	$34.54