Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.47 / $61.73 / $121.58	Facility		$14.47	$61.73	$121.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $14.28 / $78.56	Professional		$8.00	$14.28	$78.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.74 / $22.74 / $22.74	Professional		$22.74	$22.74	$22.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.10 / $29.47 / $293.00	Facility		$13.10	$29.47	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $10.78 / $37.72	Professional		$9.05	$10.78	$37.72
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $31.65 / $79.03 / $161.10	Facility		$31.65	$79.03	$161.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $7.57 / $10.82 / $37.65	Professional		$7.57	$10.82	$37.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.97 / $20.96 / $42.53	Facility		$8.97	$20.96	$42.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.06 / $13.30 / $60.10	Professional		$8.06	$13.30	$60.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10.86 / $12.49 / $16.50	Professional		$10.86	$12.49	$16.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $14.42 / $27.69	Professional		$11.00	$14.42	$27.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $21.26 / $80.00 / $85.00	Facility		$21.26	$80.00	$85.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $91.65 / $100.48 / $100.48	Professional		$91.65	$100.48	$100.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.66 / $14.66 / $14.66	Professional		$14.66	$14.66	$14.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.35 / $16.04 / $39.38	Facility		$11.35	$16.04	$39.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $14.67 / $40.93	Professional		$9.00	$14.67	$40.93
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $42.89 / $42.89 / $42.89	Professional		$42.89	$42.89	$42.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $12.16 / $18.46	Professional		$9.77	$12.16	$18.46
United Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $7.33 / $24.53	Professional		$5.13	$7.33	$24.53