Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $27.79 / $6,765.82	Facility		$13.49	$27.79	$6,765.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $14.98 / $9,216.00	Professional		$13.49	$14.98	$9,216.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.74 / $15.74 / $15.74	Professional		$15.74	$15.74	$15.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.21 / $21.55 / $48.30	Facility		$14.21	$21.55	$48.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.12 / $13.62 / $30.95	Professional		$13.12	$13.62	$30.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $25.24 / $28.21 / $42.76	Facility		$25.24	$28.21	$42.76
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $17.13 / $17.98 / $43.06	Professional		$17.13	$17.98	$43.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.72 / $12.72 / $13.49	Facility		$12.72	$12.72	$13.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $17.57	Professional		$13.49	$13.49	$17.57
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $13.45 / $13.58 / $18.16	Professional		$13.45	$13.58	$18.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $16.19 / $31.03	Professional		$12.14	$16.19	$31.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $101.35 / $101.35	Facility		$75.00	$101.35	$101.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $102.03 / $102.03 / $102.03	Professional		$102.03	$102.03	$102.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.45 / $27.57 / $60.00	Professional		$13.45	$27.57	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $14.30 / $23.40	Facility		$13.49	$14.30	$23.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $19.82	Professional		$13.49	$13.49	$19.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $36.08 / $36.08 / $36.08	Professional		$36.08	$36.08	$36.08
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.79 / $13.49 / $20.23	Professional		$10.79	$13.49	$20.23
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.78 / $27.36	Professional		$13.49	$13.78	$27.36