Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.28 / $80.89 / $129.86	Facility		$13.28	$80.89	$129.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.72 / $11.40 / $15.05	Professional		$8.72	$11.40	$15.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.29 / $7.55 / $8.73	Professional		$6.29	$7.55	$8.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.78 / $30.34 / $293.00	Facility		$13.78	$30.34	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.21 / $9.91 / $32.27	Professional		$6.21	$9.91	$32.27
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $32.58 / $79.29 / $163.49	Facility		$32.58	$79.29	$163.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $7.79 / $11.13 / $60.38	Professional		$7.79	$11.13	$60.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.72 / $16.52 / $42.13	Facility		$8.72	$16.52	$42.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $15.28 / $22.29	Professional		$8.27	$15.28	$22.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10.99 / $12.58 / $20.13	Professional		$10.99	$12.58	$20.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.06 / $12.58 / $27.42	Professional		$10.06	$12.58	$27.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $72.00 / $100.00	Facility		$53.00	$72.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.55 / $7.55 / $7.55	Professional		$7.55	$7.55	$7.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.43 / $14.96 / $36.10	Facility		$10.43	$14.96	$36.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.35 / $12.58 / $25.16	Professional		$8.35	$12.58	$25.16
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $44.15 / $44.15 / $44.15	Professional		$44.15	$44.15	$44.15
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.06 / $12.58 / $17.61	Professional		$10.06	$12.58	$17.61
United Facility/Professional Professional Modifier Low / Median / High Price $5.28 / $7.48 / $25.93	Professional		$5.28	$7.48	$25.93