Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.67 / $71.41 / $138.00	Facility		$15.67	$71.41	$138.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.34 / $10.84 / $21.76	Professional		$9.34	$10.84	$21.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.33 / $8.33 / $8.33	Professional		$8.33	$8.33	$8.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.13 / $28.90 / $293.00	Facility		$13.13	$28.90	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $7.46 / $22.14	Professional		$5.92	$7.46	$22.14
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $69.00 / $120.71	Facility		$25.70	$69.00	$120.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $8.22 / $57.50	Professional		$5.75	$8.22	$57.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.30 / $15.74 / $40.11	Facility		$8.30	$15.74	$40.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $14.29 / $20.12	Professional		$7.85	$14.29	$20.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $8.39 / $11.98 / $19.17	Professional		$8.39	$11.98	$19.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.58 / $11.98 / $26.12	Professional		$9.58	$11.98	$26.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $57.17 / $72.69 / $72.69	Facility		$57.17	$72.69	$72.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $7.19 / $7.19	Professional		$7.19	$7.19	$7.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.64 / $13.18 / $31.88	Facility		$9.64	$13.18	$31.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $11.98 / $23.96	Professional		$7.85	$11.98	$23.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $42.04 / $42.04 / $42.04	Professional		$42.04	$42.04	$42.04
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $9.58 / $11.98 / $16.77	Professional		$9.58	$11.98	$16.77
United Facility/Professional Facility Modifier Low / Median / High Price $5.03 / $11.98 / $11.98	Facility		$5.03	$11.98	$11.98
United Facility/Professional Professional Modifier Low / Median / High Price $5.03 / $7.19 / $23.19	Professional		$5.03	$7.19	$23.19