Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $50.12 / $109.65	Facility		$14.79	$50.12	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $12.02 / $67.61	Professional		$7.08	$12.02	$67.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $6.17 / $16.60	Professional		$5.13	$6.17	$16.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $23.99 / $51.29	Facility		$5.89	$23.99	$51.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $8.91 / $28.18	Professional		$5.13	$8.91	$28.18
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $66.07 / $138.04	Facility		$23.44	$66.07	$138.04
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $11.75 / $29.51	Professional		$8.32	$11.75	$29.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $17.38 / $38.02	Facility		$6.92	$17.38	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $10.47 / $17.38	Professional		$6.17	$10.47	$17.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $10.23 / $16.60	Professional		$9.12	$10.23	$16.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $10.23 / $23.44	Professional		$8.32	$10.23	$23.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $12.30 / $12.30	Professional		$6.17	$12.30	$12.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $12.30 / $29.51	Facility		$8.51	$12.30	$29.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $9.55 / $23.99	Professional		$6.17	$9.55	$23.99
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $10.23 / $15.49	Professional		$8.32	$10.23	$15.49
United Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $6.17 / $10.23	Facility		$4.68	$6.17	$10.23
United Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $6.17 / $20.42	Professional		$4.37	$6.17	$20.42