Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.87 / $15.87 / $16.26	Facility		$15.87	$15.87	$16.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.05 / $15.87 / $21.42	Professional		$13.05	$15.87	$21.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $111.00 / $111.00 / $111.00	Professional		$111.00	$111.00	$111.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.08 / $33.42 / $33.42	Facility		$31.08	$33.42	$33.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.22 / $24.96 / $53.06	Professional		$15.22	$24.96	$53.06
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $35.93 / $54.44 / $54.44	Facility		$35.93	$54.44	$54.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $17.60 / $24.66 / $41.82	Professional		$17.60	$24.66	$41.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.12 / $25.08 / $90.39	Professional		$15.12	$25.08	$90.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $19.84 / $23.92 / $31.10	Professional		$19.84	$23.92	$31.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $21.53 / $37.79	Professional		$16.64	$21.53	$37.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $85.43 / $105.40	Facility		$80.00	$85.43	$105.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $136.29 / $138.46 / $170.48	Professional		$136.29	$138.46	$170.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.91 / $20.17 / $28.77	Facility		$13.91	$20.17	$28.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $29.33 / $63.29	Professional		$16.14	$29.33	$63.29
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $74.62 / $74.62 / $74.62	Professional		$74.62	$74.62	$74.62
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $19.34 / $21.76 / $26.60	Professional		$19.34	$21.76	$26.60
United Facility/Professional Facility Modifier Low / Median / High Price $24.50 / $24.50 / $24.50	Facility		$24.50	$24.50	$24.50
United Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $23.46 / $80.94	Professional		$19.50	$23.46	$80.94