Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.88 / $302.70 / $707.80	Facility		$14.88	$302.70	$707.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $22.09 / $450.00	Professional		$14.73	$22.09	$450.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.79 / $14.00 / $23.37	Professional		$12.79	$14.00	$23.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.23 / $16.16 / $21.21	Facility		$13.23	$16.16	$21.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $14.73 / $33.29	Professional		$14.70	$14.73	$33.29
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $33.84 / $33.84 / $77.09	Facility		$33.84	$33.84	$77.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $13.27 / $14.74 / $40.40	Professional		$13.27	$14.74	$40.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.90 / $13.90 / $14.73	Facility		$13.90	$13.90	$14.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.73 / $17.04	Professional		$14.73	$14.73	$17.04
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $14.75 / $19.85	Professional		$14.70	$14.75	$19.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $16.94 / $29.46	Professional		$13.26	$16.94	$29.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $100.00 / $100.00	Facility		$85.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $64.91 / $64.91 / $64.91	Professional		$64.91	$64.91	$64.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.13 / $30.13 / $30.13	Professional		$30.13	$30.13	$30.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.90 / $14.73 / $21.32	Facility		$13.90	$14.73	$21.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.73 / $17.69	Professional		$14.73	$14.73	$17.69
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $33.50 / $33.50 / $33.50	Professional		$33.50	$33.50	$33.50
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $11.78 / $16.20 / $25.08	Professional		$11.78	$16.20	$25.08
United Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.73 / $29.57	Professional		$14.73	$14.73	$29.57