Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $77.62 / $173.78	Facility		$21.38	$77.62	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.14 / $81.28	Professional		$10.00	$15.14	$81.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $8.51 / $14.79	Professional		$6.46	$8.51	$14.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $30.20 / $64.57	Facility		$10.96	$30.20	$64.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $10.96 / $36.31	Professional		$6.31	$10.96	$36.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $75.86 / $173.78	Facility		$28.84	$75.86	$173.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $14.79 / $37.15	Professional		$10.23	$14.79	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $21.38 / $46.77	Facility		$8.71	$21.38	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $15.14 / $21.88	Professional		$8.32	$15.14	$21.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $12.88 / $20.42	Professional		$11.22	$12.88	$20.42
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.88 / $28.18	Professional		$10.23	$12.88	$28.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $100.00	Facility		$69.18	$69.18	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $16.22 / $23.99	Professional		$10.96	$16.22	$23.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $15.49 / $15.49	Professional		$7.76	$15.49	$15.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $15.49 / $37.15	Facility		$10.72	$15.49	$37.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $15.14 / $29.51	Professional		$8.71	$15.14	$29.51
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $13.18 / $21.88	Professional		$10.23	$13.18	$21.88
United Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $8.91 / $12.88	Facility		$5.75	$8.91	$12.88
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $10.72 / $25.70	Professional		$7.76	$10.72	$25.70