Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $61.66 / $165.96	Facility		$22.39	$61.66	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.59 / $43.65	Professional		$10.00	$12.59	$43.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $10.72 / $16.60	Professional		$5.01	$10.72	$16.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $29.51 / $63.10	Facility		$9.33	$29.51	$63.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $16.98 / $30.90	Professional		$5.37	$16.98	$30.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $67.61 / $144.54	Facility		$28.18	$67.61	$144.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $16.98 / $33.11	Professional		$11.75	$16.98	$33.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $21.88 / $45.71	Facility		$8.51	$21.88	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $13.49 / $19.50	Professional		$7.08	$13.49	$19.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.59 / $19.95	Professional		$10.00	$12.59	$19.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.59 / $24.55	Professional		$10.00	$12.59	$24.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $21.38 / $75.86	Professional		$11.22	$21.38	$75.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $14.45 / $33.11	Facility		$9.12	$14.45	$33.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $12.88 / $27.54	Professional		$7.08	$12.88	$27.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.22 / $16.98	Professional		$10.00	$11.22	$16.98
United Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $7.41 / $12.59	Facility		$5.62	$7.41	$12.59
United Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $6.31 / $22.91	Professional		$5.25	$6.31	$22.91