Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.60 / $91.98 / $154.16	Facility		$18.60	$91.98	$154.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.03 / $11.65 / $28.23	Professional		$10.03	$11.65	$28.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $7.72 / $14.74	Professional		$5.92	$7.72	$14.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.10 / $31.04 / $293.00	Facility		$14.10	$31.04	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.36 / $10.14 / $27.93	Professional		$6.36	$10.14	$27.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $33.33 / $80.06 / $165.51	Facility		$33.33	$80.06	$165.51
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $7.97 / $11.39 / $61.78	Professional		$7.97	$11.39	$61.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $16.91 / $43.11	Facility		$8.91	$16.91	$43.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.49 / $15.69 / $22.89	Professional		$9.49	$15.69	$22.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $11.27 / $12.87 / $20.59	Professional		$11.27	$12.87	$20.59
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Professional		$15.85	$15.85	$15.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $12.87 / $28.06	Professional		$10.30	$12.87	$28.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.15 / $69.28 / $100.00	Facility		$55.15	$69.28	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17.68 / $18.38 / $24.09	Professional		$17.68	$18.38	$24.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.72 / $7.72 / $7.72	Professional		$7.72	$7.72	$7.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.66 / $15.04 / $36.65	Facility		$10.66	$15.04	$36.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $12.87 / $25.74	Professional		$9.52	$12.87	$25.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $45.17 / $45.17 / $45.17	Professional		$45.17	$45.17	$45.17
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $12.87 / $18.02	Professional		$10.30	$12.87	$18.02
United Facility/Professional Professional Modifier Low / Median / High Price $7.72 / $10.79 / $24.29	Professional		$7.72	$10.79	$24.29