Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.96 / $15.96 / $96.40	Facility		$15.96	$15.96	$96.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.77 / $15.96 / $96.40	Professional		$12.77	$15.96	$96.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.39 / $21.39 / $26.74	Professional		$21.39	$21.39	$26.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.13 / $47.35 / $106.09	Facility		$12.13	$47.35	$106.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $19.76 / $27.50	Professional		$13.91	$19.76	$27.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $34.34 / $48.36 / $71.95	Facility		$34.34	$48.36	$71.95
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $69.98 / $103.28	Professional		$18.05	$69.98	$103.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.62 / $18.44 / $18.44	Facility		$15.62	$18.44	$18.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.46 / $13.46 / $19.66	Professional		$13.46	$13.46	$19.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $11.79 / $14.15 / $36.76	Professional		$11.79	$14.15	$36.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $23.39 / $51.80	Professional		$20.05	$23.39	$51.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $158.75 / $158.75	Facility		$85.00	$158.75	$158.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $160.41 / $160.41 / $234.38	Professional		$160.41	$160.41	$234.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.17 / $56.17 / $56.17	Professional		$56.17	$56.17	$56.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.55 / $28.41 / $33.42	Facility		$8.55	$28.41	$33.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.46 / $18.44 / $27.69	Professional		$13.46	$18.44	$27.69
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $63.06 / $63.06	Professional		$63.06	$63.06	$63.06
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $11.79 / $20.04 / $26.74	Professional		$11.79	$20.04	$26.74
United Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $15.05 / $32.33	Professional		$12.48	$15.05	$32.33