Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $56.23 / $204.17	Facility		$12.88	$56.23	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $19.05 / $97.72	Professional		$12.88	$19.05	$97.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Professional		$14.13	$14.13	$14.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $46.77 / $102.33	Facility		$11.48	$46.77	$102.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.85 / $43.65	Professional		$10.00	$15.85	$43.65
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $60.26 / $123.03	Facility		$25.70	$60.26	$123.03
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $22.39 / $48.98	Professional		$12.59	$22.39	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $33.88 / $74.13	Facility		$13.49	$33.88	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $20.42 / $33.88	Professional		$12.02	$20.42	$33.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $20.42 / $32.36	Professional		$15.85	$20.42	$32.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $20.42 / $44.67	Professional		$16.22	$20.42	$44.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $234.42	Facility		$117.49	$117.49	$234.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $23.99 / $23.99	Professional		$12.02	$23.99	$23.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $23.99 / $53.70	Facility		$16.60	$23.99	$53.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $19.05 / $45.71	Professional		$12.02	$19.05	$45.71
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $20.42 / $34.67	Professional		$16.22	$20.42	$34.67
United Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $12.02 / $20.42	Facility		$9.12	$12.02	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $12.02 / $39.81	Professional		$8.51	$12.02	$39.81