Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.63 / $140.40 / $234.00	Facility		$21.63	$140.40	$234.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $16.78 / $61.57	Professional		$12.96	$16.78	$61.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $11.11 / $16.67	Professional		$8.52	$11.11	$16.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.29 / $44.67 / $293.00	Facility		$20.29	$44.67	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.14 / $14.59 / $43.09	Professional		$9.14	$14.59	$43.09
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $45.10 / $87.40 / $238.10	Facility		$45.10	$87.40	$238.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $11.47 / $16.39 / $64.03	Professional		$11.47	$16.39	$64.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.82 / $24.32 / $62.01	Facility		$12.82	$24.32	$62.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.55 / $22.64 / $31.81	Professional		$13.55	$22.64	$31.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $16.38 / $18.52 / $29.63	Professional		$16.38	$18.52	$29.63
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $104.76 / $104.76 / $104.76	Professional		$104.76	$104.76	$104.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.82 / $18.52 / $40.74	Professional		$14.82	$18.52	$40.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $88.54 / $100.00	Facility		$72.00	$88.54	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16.67 / $23.15 / $35.32	Professional		$16.67	$23.15	$35.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.11 / $11.11 / $11.11	Professional		$11.11	$11.11	$11.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.36 / $21.63 / $53.13	Facility		$15.36	$21.63	$53.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.72 / $19.66 / $37.04	Professional		$13.72	$19.66	$37.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $65.00 / $65.00	Professional		$65.00	$65.00	$65.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.82 / $18.52 / $25.93	Professional		$14.82	$18.52	$25.93
United Facility/Professional Professional Modifier Low / Median / High Price $7.78 / $11.11 / $37.17	Professional		$7.78	$11.11	$37.17