Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $144.54 / $707.95	Facility		$20.42	$144.54	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $9.55 / $53.70	Professional		$6.31	$9.55	$53.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $5.13 / $10.23	Professional		$3.89	$5.13	$10.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $19.50 / $42.66	Facility		$7.24	$19.50	$42.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $7.08 / $24.55	Professional		$4.17	$7.08	$24.55
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $57.54 / $112.20	Facility		$19.05	$57.54	$112.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $9.55 / $22.91	Professional		$6.76	$9.55	$22.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $14.45 / $35.48	Facility		$5.75	$14.45	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $10.00 / $15.14	Professional		$5.50	$10.00	$15.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $8.51 / $13.49	Professional		$7.24	$8.51	$13.49
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $11.75	Professional		$11.75	$11.75	$11.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $8.51 / $19.05	Professional		$6.76	$8.51	$19.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.00 / $17.38	Professional		$7.08	$10.00	$17.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.23 / $10.23	Professional		$10.23	$10.23	$10.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $10.23 / $25.12	Facility		$6.76	$10.23	$25.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $10.00 / $18.20	Professional		$6.17	$10.00	$18.20
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $8.71 / $14.45	Professional		$6.76	$8.71	$14.45
United Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $5.13 / $8.51	Facility		$3.55	$5.13	$8.51
United Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $5.13 / $16.98	Professional		$3.55	$5.13	$16.98