Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.74 / $40.11 / $95.21	Facility		$9.74	$40.11	$95.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.85 / $8.33 / $11.03	Professional		$6.85	$8.33	$11.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.53 / $5.53 / $5.53	Professional		$5.53	$5.53	$5.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.10 / $22.24 / $293.00	Facility		$10.10	$22.24	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.55 / $7.27 / $23.66	Professional		$4.55	$7.27	$23.66
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $23.88 / $69.00 / $119.88	Facility		$23.88	$69.00	$119.88
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $5.72 / $8.17 / $44.26	Professional		$5.72	$8.17	$44.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.38 / $12.10 / $30.85	Facility		$6.38	$12.10	$30.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.94 / $11.15 / $16.26	Professional		$5.94	$11.15	$16.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $9.22 / $14.75	Professional		$8.19	$9.22	$14.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7.38 / $9.22 / $20.57	Professional		$7.38	$9.22	$20.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $60.00 / $100.00	Facility		$50.00	$60.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.53 / $5.53 / $5.53	Professional		$5.53	$5.53	$5.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.62 / $11.03 / $27.50	Facility		$7.62	$11.03	$27.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $9.22 / $18.44	Professional		$6.03	$9.22	$18.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Professional		$32.36	$32.36	$32.36
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $7.38 / $9.22 / $12.91	Professional		$7.38	$9.22	$12.91
United Facility/Professional Professional Modifier Low / Median / High Price $3.87 / $5.53 / $16.73	Professional		$3.87	$5.53	$16.73