Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.70 / $25.50 / $119.99	Facility		$6.70	$25.50	$119.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.21 / $11.16 / $22.06	Professional		$9.21	$11.16	$22.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.21 / $7.45 / $8.61	Professional		$6.21	$7.45	$8.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.60 / $29.93 / $293.00	Facility		$13.60	$29.93	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.13 / $9.77 / $28.90	Professional		$6.13	$9.77	$28.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $32.14 / $78.30 / $161.26	Facility		$32.14	$78.30	$161.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $7.69 / $10.99 / $59.57	Professional		$7.69	$10.99	$59.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.60 / $16.30 / $41.56	Facility		$8.60	$16.30	$41.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.07 / $14.67 / $20.53	Professional		$8.07	$14.67	$20.53
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $12.41 / $19.86	Professional		$11.03	$12.41	$19.86
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $13.51 / $13.51 / $13.51	Professional		$13.51	$13.51	$13.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.93 / $12.41 / $28.12	Professional		$9.93	$12.41	$28.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $60.00 / $100.00	Facility		$58.00	$60.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11.17 / $15.51 / $23.38	Professional		$11.17	$15.51	$23.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.44 / $7.44 / $7.44	Professional		$7.44	$7.44	$7.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.27 / $14.84 / $40.03	Facility		$10.27	$14.84	$40.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.07 / $12.41 / $24.82	Professional		$8.07	$12.41	$24.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $43.55 / $43.55 / $43.55	Professional		$43.55	$43.55	$43.55
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $9.93 / $12.41 / $17.37	Professional		$9.93	$12.41	$17.37
United Facility/Professional Professional Modifier Low / Median / High Price $5.21 / $7.38 / $23.99	Professional		$5.21	$7.38	$23.99