Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.31 / $89.56 / $207.06	Facility		$11.31	$89.56	$207.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.49 / $5.97 / $10.82	Professional		$5.49	$5.97	$10.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.04 / $3.97 / $4.59	Professional		$3.04	$3.97	$4.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $15.94 / $293.00	Facility		$7.24	$15.94	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.26 / $5.20 / $16.96	Professional		$3.26	$5.20	$16.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $16.85 / $55.00 / $97.40	Facility		$16.85	$55.00	$97.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $5.86 / $31.73	Professional		$4.09	$5.86	$31.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.58 / $8.69 / $22.15	Facility		$4.58	$8.69	$22.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $7.97 / $12.05	Professional		$4.26	$7.97	$12.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $5.88 / $6.61 / $10.58	Professional		$5.88	$6.61	$10.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.29 / $6.61 / $14.41	Professional		$5.29	$6.61	$14.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $33.00 / $60.00 / $60.00	Facility		$33.00	$60.00	$60.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.96 / $3.96 / $3.96	Professional		$3.96	$3.96	$3.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.49 / $7.91 / $20.80	Facility		$5.49	$7.91	$20.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.41 / $6.61 / $13.22	Professional		$4.41	$6.61	$13.22
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $23.20 / $23.20 / $23.20	Professional		$23.20	$23.20	$23.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $5.29 / $6.61 / $9.25	Professional		$5.29	$6.61	$9.25
United Facility/Professional Professional Modifier Low / Median / High Price $2.78 / $3.93 / $12.70	Professional		$2.78	$3.93	$12.70