Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $53.12 / $187.51	Facility		$19.57	$53.12	$187.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $18.68 / $49.92	Professional		$12.33	$18.68	$49.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.34 / $11.21 / $11.21	Professional		$9.34	$11.21	$11.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.47 / $45.06 / $293.00	Facility		$20.47	$45.06	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.23 / $14.61 / $78.00	Professional		$9.23	$14.61	$78.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $45.10 / $87.40 / $238.37	Facility		$45.10	$87.40	$238.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $11.50 / $16.43 / $53.22	Professional		$11.50	$16.43	$53.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.93 / $24.52 / $62.52	Facility		$12.93	$24.52	$62.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.31 / $22.64 / $33.13	Professional		$12.31	$22.64	$33.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $16.61 / $18.68 / $29.89	Professional		$16.61	$18.68	$29.89
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $20.19 / $20.19 / $20.19	Professional		$20.19	$20.19	$20.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.94 / $18.68 / $41.10	Professional		$14.94	$18.68	$41.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $68.91 / $89.64 / $155.00	Facility		$68.91	$89.64	$155.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.21 / $11.21 / $11.21	Professional		$11.21	$11.21	$11.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.48 / $21.61 / $53.03	Facility		$15.48	$21.61	$53.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.52 / $18.68 / $37.36	Professional		$12.52	$18.68	$37.36
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $65.56 / $65.56 / $65.56	Professional		$65.56	$65.56	$65.56
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.94 / $18.68 / $26.15	Professional		$14.94	$18.68	$26.15
United Facility/Professional Facility Modifier Low / Median / High Price $7.85 / $18.68 / $18.68	Facility		$7.85	$18.68	$18.68
United Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $11.12 / $36.14	Professional		$7.85	$11.12	$36.14