Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.84 / $64.02 / $201.91	Facility		$22.84	$64.02	$201.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.67 / $23.39 / $119.42	Professional		$14.67	$23.39	$119.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.74 / $11.74 / $11.74	Professional		$11.74	$11.74	$11.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.43 / $47.18 / $293.00	Facility		$21.43	$47.18	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.66 / $13.85 / $29.34	Professional		$9.66	$13.85	$29.34
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $45.48 / $87.70 / $248.89	Facility		$45.48	$87.70	$248.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.12 / $17.32 / $67.59	Professional		$12.12	$17.32	$67.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.54 / $25.67 / $65.45	Facility		$13.54	$25.67	$65.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $22.30 / $29.94	Professional		$10.73	$22.30	$29.94
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $5.41 / $19.55 / $31.30	Professional		$5.41	$19.55	$31.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.65 / $19.55 / $43.03	Professional		$15.65	$19.55	$43.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $95.00 / $113.00	Facility		$72.00	$95.00	$113.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.73 / $11.73 / $11.73	Professional		$11.73	$11.73	$11.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.65 / $21.91 / $53.92	Facility		$15.65	$21.91	$53.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $19.55 / $39.11	Professional		$10.73	$19.55	$39.11
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $68.65 / $68.65 / $68.65	Professional		$68.65	$68.65	$68.65
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $5.52 / $9.19 / $17.60	Professional		$5.52	$9.19	$17.60
United Facility/Professional Facility Modifier Low / Median / High Price $8.22 / $19.55 / $19.55	Facility		$8.22	$19.55	$19.55
United Facility/Professional Professional Modifier Low / Median / High Price $8.22 / $11.63 / $37.81	Professional		$8.22	$11.63	$37.81