Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.01 / $19.91 / $109.56	Facility		$18.01	$19.91	$109.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.42 / $20.12 / $80.16	Professional		$16.42	$20.12	$80.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.24 / $36.24 / $39.83	Professional		$36.24	$36.24	$39.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.13 / $293.00 / $876.00	Facility		$19.13	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.94 / $25.74 / $79.37	Professional		$18.94	$25.74	$79.37
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $17.45 / $42.65 / $61.81	Facility		$17.45	$42.65	$61.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15.76 / $22.52 / $55.99	Professional		$15.76	$22.52	$55.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.45 / $20.45 / $20.45	Facility		$20.45	$20.45	$20.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.63 / $24.94 / $62.01	Professional		$18.63	$24.94	$62.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $19.94 / $26.92	Professional		$16.14	$19.94	$26.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.93 / $19.47 / $59.00	Professional		$15.93	$19.47	$59.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $42.10 / $101.49 / $186.62	Facility		$42.10	$101.49	$186.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $351.00 / $351.00 / $351.00	Professional		$351.00	$351.00	$351.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.48 / $32.34 / $32.34	Professional		$25.48	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.67 / $22.13 / $48.58	Facility		$16.67	$22.13	$48.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.03 / $26.47 / $50.03	Professional		$19.03	$26.47	$50.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $61.25 / $61.25 / $61.25	Professional		$61.25	$61.25	$61.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $16.13 / $21.00 / $27.46	Professional		$16.13	$21.00	$27.46
United Facility/Professional Professional Modifier Low / Median / High Price $14.84 / $19.61 / $45.53	Professional		$14.84	$19.61	$45.53