Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $93.33 / $229.09	Facility		$17.38	$93.33	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $22.39 / $114.82	Professional		$14.13	$22.39	$114.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $11.22 / $18.62	Professional		$8.71	$11.22	$18.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $42.66 / $93.33	Facility		$15.85	$42.66	$93.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $15.49 / $52.48	Professional		$9.12	$15.49	$52.48
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $85.11 / $251.19	Facility		$41.69	$85.11	$251.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $21.38 / $53.70	Professional		$14.79	$21.38	$53.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $30.90 / $67.61	Facility		$12.59	$30.90	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $21.88 / $31.62	Professional		$12.02	$21.88	$31.62
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $18.62 / $29.51	Professional		$16.22	$18.62	$29.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $18.62 / $41.69	Professional		$14.79	$18.62	$41.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $100.00	Facility		$89.13	$89.13	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $17.38 / $32.36	Professional		$15.85	$17.38	$32.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $22.39 / $22.39	Professional		$11.22	$22.39	$22.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $22.39 / $53.70	Facility		$15.49	$22.39	$53.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $21.88 / $42.66	Professional		$12.30	$21.88	$42.66
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $19.05 / $31.62	Professional		$14.79	$19.05	$31.62
United Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $12.59 / $18.62	Facility		$8.32	$12.59	$18.62
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $11.22 / $37.15	Professional		$7.76	$11.22	$37.15