Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.86 / $28.29 / $114.16	Facility		$10.86	$28.29	$114.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.12 / $23.02 / $32.76	Professional		$12.12	$23.02	$32.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $27.70	Professional		$20.00	$20.00	$27.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.89 / $42.41 / $127.89	Facility		$1.89	$42.41	$127.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.95 / $19.64 / $36.79	Professional		$18.95	$19.64	$36.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $40.65 / $57.30 / $85.21	Facility		$40.65	$57.30	$85.21
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $22.94 / $66.84 / $108.37	Professional		$22.94	$66.84	$108.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.17 / $25.17 / $31.44	Facility		$25.17	$25.17	$31.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.39 / $21.39 / $29.37	Professional		$21.39	$21.39	$29.37
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $32.97 / $39.56 / $47.48	Professional		$32.97	$39.56	$47.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.74 / $35.61 / $71.42	Professional		$23.74	$35.61	$71.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $91.14 / $183.45 / $187.96	Facility		$91.14	$183.45	$187.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $209.94 / $296.77 / $338.10	Professional		$209.94	$296.77	$338.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.29 / $6.74 / $60.00	Professional		$3.29	$6.74	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.17 / $39.57 / $66.90	Facility		$25.17	$39.57	$66.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.39 / $25.17 / $43.31	Professional		$21.39	$25.17	$43.31
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $74.68 / $74.68 / $74.68	Professional		$74.68	$74.68	$74.68
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $31.66 / $32.97 / $42.86	Professional		$31.66	$32.97	$42.86
United Facility/Professional Professional Modifier Low / Median / High Price $15.06 / $16.78 / $41.25	Professional		$15.06	$16.78	$41.25