Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.71 / $17.95 / $115.03	Facility		$6.71	$17.95	$115.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.56 / $17.95 / $46.72	Professional		$15.56	$17.95	$46.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.89 / $23.92 / $31.90	Professional		$18.89	$23.92	$31.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.64 / $56.18 / $126.56	Facility		$13.64	$56.18	$126.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.54 / $18.11 / $29.64	Professional		$15.54	$18.11	$29.64
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $40.97 / $57.70 / $85.86	Facility		$40.97	$57.70	$85.86
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $21.55 / $71.93 / $123.20	Professional		$21.55	$71.93	$123.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.63 / $22.18 / $31.55	Facility		$18.63	$22.18	$31.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.19 / $16.19 / $31.55	Professional		$16.19	$16.19	$31.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $21.30 / $25.56 / $43.86	Professional		$21.30	$25.56	$43.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.92 / $27.91 / $61.80	Professional		$23.92	$27.91	$61.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $76.90 / $160.57 / $189.38	Facility		$76.90	$160.57	$189.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $242.87 / $248.72 / $248.72	Professional		$242.87	$248.72	$248.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.79 / $89.79 / $89.79	Professional		$89.79	$89.79	$89.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.63 / $33.29 / $40.39	Facility		$9.63	$33.29	$40.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.19 / $22.18 / $37.11	Professional		$16.19	$22.18	$37.11
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $75.25 / $75.25 / $75.25	Professional		$75.25	$75.25	$75.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $21.30 / $31.90 / $31.95	Professional		$21.30	$31.90	$31.95
United Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $14.92 / $39.86	Professional		$13.79	$14.92	$39.86