Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.72 / $69.80 / $302.42	Facility		$12.72	$69.80	$302.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $12.72 / $35.36	Professional		$9.69	$12.72	$35.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $6.30 / $6.30	Professional		$6.30	$6.30	$6.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.81 / $30.39 / $293.00	Facility		$13.81	$30.39	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.54 / $16.43 / $25.69	Professional		$7.54	$16.43	$25.69
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $28.57 / $72.50 / $139.13	Facility		$28.57	$72.50	$139.13
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $13.14 / $29.85	Professional		$9.19	$13.14	$29.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.19 / $16.54 / $40.61	Facility		$8.19	$16.54	$40.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.13 / $14.46 / $19.10	Professional		$7.13	$14.46	$19.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10.08 / $12.60 / $20.16	Professional		$10.08	$12.60	$20.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.08 / $12.60 / $24.57	Professional		$10.08	$12.60	$24.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $60.00 / $60.00	Facility		$50.00	$60.00	$60.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $17.93 / $75.30	Professional		$17.23	$17.93	$75.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.18 / $13.23 / $31.42	Facility		$9.18	$13.23	$31.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $12.60 / $17.25	Professional		$7.43	$12.60	$17.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $44.22 / $44.22 / $44.22	Professional		$44.22	$44.22	$44.22
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.08 / $11.29 / $14.11	Professional		$10.08	$11.29	$14.11
United Facility/Professional Professional Modifier Low / Median / High Price $5.29 / $6.28 / $27.82	Professional		$5.29	$6.28	$27.82