Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $53.70 / $138.04	Facility		$15.49	$53.70	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.96 / $69.18	Professional		$8.91	$10.96	$69.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $7.41 / $7.41	Professional		$7.41	$7.41	$7.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $28.18 / $60.26	Facility		$6.92	$28.18	$60.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $8.71 / $26.30	Professional		$5.89	$8.71	$26.30
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $58.88 / $125.89	Facility		$25.12	$58.88	$125.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $10.47 / $30.90	Professional		$7.41	$10.47	$30.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $19.95 / $43.65	Facility		$7.94	$19.95	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $12.02 / $19.95	Professional		$7.08	$12.02	$19.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.02 / $19.05	Professional		$8.91	$12.02	$19.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.02 / $26.92	Professional		$9.55	$12.02	$26.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $85.11	Facility		$70.79	$70.79	$85.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $14.45 / $14.45	Professional		$7.24	$14.45	$14.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $14.45 / $32.36	Facility		$10.00	$14.45	$32.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $11.22 / $27.54	Professional		$7.08	$11.22	$27.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.30 / $20.42	Professional		$9.55	$12.30	$20.42
United Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $7.24 / $12.02	Facility		$5.37	$7.24	$12.02
United Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.24 / $23.99	Professional		$5.01	$7.24	$23.99