Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $89.13 / $181.97	Facility		$24.55	$89.13	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.05 / $85.11	Professional		$14.13	$19.05	$85.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $11.22	Professional		$10.72	$10.72	$11.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $41.69 / $91.20	Facility		$9.12	$41.69	$91.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $12.02 / $35.48	Professional		$4.47	$12.02	$35.48
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $83.18 / $213.80	Facility		$39.81	$83.18	$213.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $18.20 / $51.29	Professional		$12.59	$18.20	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $31.62 / $69.18	Facility		$12.02	$31.62	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $10.47 / $25.12	Professional		$9.55	$10.47	$25.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $19.95 / $100.00	Professional		$18.20	$19.95	$100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $18.20 / $38.90	Professional		$14.45	$18.20	$38.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $21.88 / $52.48	Facility		$16.22	$21.88	$52.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $9.55 / $18.20	Professional		$9.55	$9.55	$18.20
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
United Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $10.72 / $18.20	Facility		$8.13	$10.72	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.72 / $34.67	Professional		$7.59	$10.72	$34.67