Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $20.43 / $55.77	Facility		$10.68	$20.43	$55.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.67 / $10.78 / $30.66	Professional		$10.67	$10.78	$30.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.47 / $15.47 / $15.47	Professional		$15.47	$15.47	$15.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.66 / $17.05 / $38.24	Facility		$10.66	$17.05	$38.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.73 / $10.68 / $55.79	Professional		$9.73	$10.68	$55.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $34.21 / $35.70 / $54.07	Facility		$34.21	$35.70	$54.07
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $11.58 / $12.16 / $36.65	Professional		$11.58	$12.16	$36.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.07 / $10.07 / $10.68	Facility		$10.07	$10.07	$10.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $10.68 / $15.11	Professional		$10.68	$10.68	$15.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $11.27 / $15.21	Professional		$10.19	$11.27	$15.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $12.82 / $32.04	Professional		$9.61	$12.82	$32.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $120.82 / $134.16	Facility		$75.00	$120.82	$134.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $424.84 / $424.84 / $424.84	Professional		$424.84	$424.84	$424.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.27 / $23.10 / $60.00	Professional		$11.27	$23.10	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $14.00 / $52.74	Facility		$10.68	$14.00	$52.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $10.68 / $20.95	Professional		$10.68	$10.68	$20.95
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $34.83 / $34.83 / $34.83	Professional		$34.83	$34.83	$34.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $8.53 / $10.68 / $16.02	Professional		$8.53	$10.68	$16.02
United Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $10.68 / $21.55	Professional		$10.68	$10.68	$21.55