Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.53 / $68.16 / $173.65	Facility		$10.53	$68.16	$173.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.01 / $16.18 / $55.82	Professional		$12.01	$16.18	$55.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.09 / $9.71 / $11.23	Professional		$8.09	$9.71	$11.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.73 / $39.03 / $293.00	Facility		$17.73	$39.03	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.99 / $12.74 / $39.68	Professional		$7.99	$12.74	$39.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $41.91 / $86.00 / $208.01	Facility		$41.91	$86.00	$208.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $14.33 / $55.92	Professional		$10.02	$14.33	$55.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.21 / $21.25 / $54.18	Facility		$11.21	$21.25	$54.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $19.77 / $28.91	Professional		$10.61	$19.77	$28.91
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $14.38 / $16.18 / $25.89	Professional		$14.38	$16.18	$25.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.94 / $16.18 / $36.09	Professional		$12.94	$16.18	$36.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $59.83 / $79.59 / $100.00	Facility		$59.83	$79.59	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.71 / $9.71 / $9.71	Professional		$9.71	$9.71	$9.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.39 / $19.42 / $52.18	Facility		$13.39	$19.42	$52.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.67 / $16.18 / $32.36	Professional		$10.67	$16.18	$32.36
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $56.79 / $56.79 / $56.79	Professional		$56.79	$56.79	$56.79
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $12.94 / $16.18 / $22.65	Professional		$12.94	$16.18	$22.65
United Facility/Professional Professional Modifier Low / Median / High Price $6.80 / $9.61 / $28.26	Professional		$6.80	$9.61	$28.26