Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.57 / $39.00 / $727.74	Facility		$8.57	$39.00	$727.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.64 / $6.00 / $13.60	Professional		$2.64	$6.00	$13.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $4.55 / $7.80	Professional		$1.88	$4.55	$7.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.20 / $11.82 / $28.85	Facility		$1.20	$11.82	$28.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $2.50 / $6.50	Professional		$1.20	$2.50	$6.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $5.73 / $19.62 / $39.96	Facility		$5.73	$19.62	$39.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $2.15 / $14.40	Professional		$1.51	$2.15	$14.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $8.69 / $20.43	Facility		$2.29	$8.69	$20.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.50 / $3.32 / $5.29	Professional		$1.50	$3.32	$5.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $9.09 / $10.00 / $99.00	Professional		$9.09	$10.00	$99.00
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $5.97 / $9.09 / $19.00	Professional		$5.97	$9.09	$19.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.91 / $9.09 / $17.00	Professional		$5.91	$9.09	$17.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $1,300.00 / $1,300.00	Facility		$85.00	$1,300.00	$1,300.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6.24 / $10.89 / $21.84	Professional		$6.24	$10.89	$21.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.46 / $7.27 / $13.64	Facility		$2.46	$7.27	$13.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.46 / $3.54 / $9.09	Professional		$2.46	$3.54	$9.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $9.27 / $9.27	Professional		$9.27	$9.27	$9.27
United Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $3.00 / $7.37	Professional		$1.26	$3.00	$7.37