Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.50 / $63.12 / $204.75	Facility		$10.50	$63.12	$204.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.11 / $19.52 / $25.95	Professional		$16.11	$19.52	$25.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.98 / $13.02 / $15.07	Professional		$9.98	$13.02	$15.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.78 / $52.34 / $293.00	Facility		$23.78	$52.34	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.71 / $17.09 / $55.62	Professional		$10.71	$17.09	$55.62
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $48.39 / $89.10 / $276.02	Facility		$48.39	$89.10	$276.02
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $13.45 / $19.21 / $62.25	Professional		$13.45	$19.21	$62.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.01 / $28.50 / $72.67	Facility		$15.01	$28.50	$72.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $26.43 / $38.54	Professional		$14.22	$26.43	$38.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $19.28 / $21.70 / $34.72	Professional		$19.28	$21.70	$34.72
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $23.61 / $23.61 / $23.61	Professional		$23.61	$23.61	$23.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.36 / $21.70 / $47.31	Professional		$17.36	$21.70	$47.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $76.06 / $122.00 / $122.00	Facility		$76.06	$122.00	$122.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19.53 / $27.13 / $41.28	Professional		$19.53	$27.13	$41.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.02 / $13.02 / $13.02	Professional		$13.02	$13.02	$13.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.97 / $25.34 / $64.70	Facility		$17.97	$25.34	$64.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.38 / $21.70 / $43.40	Professional		$14.38	$21.70	$43.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $76.16 / $76.16 / $76.16	Professional		$76.16	$76.16	$76.16
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $17.36 / $21.70 / $30.38	Professional		$17.36	$21.70	$30.38
United Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $13.02 / $41.69	Professional		$9.11	$13.02	$41.69