Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $74.54 / $165.46	Facility		$19.05	$74.54	$165.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.71 / $19.27 / $37.00	Professional		$15.71	$19.27	$37.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $14.45 / $14.45	Professional		$12.05	$14.45	$14.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.40 / $58.11 / $293.00	Facility		$26.40	$58.11	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $14.57 / $43.03	Professional		$9.64	$14.57	$43.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $46.50 / $87.40 / $232.12	Facility		$46.50	$87.40	$232.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $15.99 / $55.64	Professional		$11.19	$15.99	$55.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.66 / $31.63 / $78.84	Facility		$15.66	$31.63	$78.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.36 / $27.67 / $36.65	Professional		$13.36	$27.67	$36.65
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $15.35 / $24.09 / $38.54	Professional		$15.35	$24.09	$38.54
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $19.64 / $19.64	Professional		$19.64	$19.64	$19.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.27 / $24.09 / $54.59	Professional		$19.27	$24.09	$54.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.48 / $114.43 / $114.43	Facility		$85.48	$114.43	$114.43
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $21.68 / $28.78 / $42.27	Professional		$21.68	$28.78	$42.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Professional		$14.45	$14.45	$14.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.18 / $24.09 / $59.62	Facility		$16.18	$24.09	$59.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.38 / $23.35 / $39.15	Professional		$13.38	$23.35	$39.15
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $84.55 / $84.55 / $84.55	Professional		$84.55	$84.55	$84.55
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $19.27 / $24.09 / $33.72	Professional		$19.27	$24.09	$33.72
United Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $10.86 / $40.65	Professional		$10.11	$10.86	$40.65