Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.80 / $14.73 / $853.83	Facility		$6.80	$14.73	$853.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $7.00 / $424.23	Professional		$6.73	$7.00	$424.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.90 / $13.61 / $13.61	Professional		$6.90	$13.61	$13.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.16 / $10.75 / $26.37	Facility		$7.16	$10.75	$26.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $7.24 / $92.85	Professional		$6.73	$7.24	$92.85
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $16.38 / $18.53 / $130.31	Facility		$16.38	$18.53	$130.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $6.85 / $7.19 / $21.85	Professional		$6.85	$7.19	$21.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.35 / $6.35 / $6.73	Facility		$6.35	$6.35	$6.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.73 / $9.52	Professional		$6.73	$6.73	$9.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $6.66 / $8.99 / $13.63	Professional		$6.66	$8.99	$13.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.06 / $8.08 / $15.48	Professional		$6.06	$8.08	$15.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $112.37 / $263.70 / $274.26	Facility		$112.37	$263.70	$274.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,103.23 / $2,103.23 / $2,103.23	Professional		$2,103.23	$2,103.23	$2,103.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.66 / $13.65 / $60.00	Professional		$6.66	$13.65	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.73 / $8.90 / $117.58	Facility		$6.73	$8.90	$117.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.73 / $10.51	Professional		$6.73	$6.73	$10.51
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $93.87 / $93.87 / $93.87	Professional		$93.87	$93.87	$93.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $5.38 / $6.73 / $10.09	Professional		$5.38	$6.73	$10.09
United Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.86 / $13.51	Professional		$6.73	$6.86	$13.51