Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.25 / $83.53 / $189.28	Facility		$21.25	$83.53	$189.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.47 / $23.42 / $77.05	Professional		$17.47	$23.42	$77.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $10.02 / $10.02	Professional		$10.02	$10.02	$10.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.49 / $48.36 / $293.00	Facility		$21.49	$48.36	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $17.69 / $60.79	Professional		$9.90	$17.69	$60.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $45.50 / $87.40 / $253.02	Facility		$45.50	$87.40	$253.02
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $14.21 / $17.76 / $65.45	Professional		$14.21	$17.76	$65.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.72 / $34.40 / $69.79	Facility		$14.72	$34.40	$69.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.16 / $21.64 / $98.51	Professional		$13.16	$21.64	$98.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $20.50 / $27.07	Professional		$17.82	$20.50	$27.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $23.66 / $45.44	Professional		$18.05	$23.66	$45.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $42.06 / $95.52 / $95.52	Facility		$42.06	$95.52	$95.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $153.93 / $164.83 / $164.83	Professional		$153.93	$164.83	$164.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.06 / $24.06 / $24.06	Professional		$24.06	$24.06	$24.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.76 / $32.08 / $63.39	Facility		$18.76	$32.08	$63.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.78 / $24.26 / $61.24	Professional		$14.78	$24.26	$61.24
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $70.37 / $70.37 / $70.37	Professional		$70.37	$70.37	$70.37
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $16.04 / $19.97 / $30.31	Professional		$16.04	$19.97	$30.31
United Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $11.93 / $40.24	Professional		$8.42	$11.93	$40.24