Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $43.65 / $85.11	Facility		$14.45	$43.65	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $9.33 / $50.12	Professional		$6.03	$9.33	$50.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $5.25 / $7.08	Professional		$3.89	$5.25	$7.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $18.20 / $39.81	Facility		$6.76	$18.20	$39.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $6.76 / $21.88	Professional		$3.89	$6.76	$21.88
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $54.95 / $104.71	Facility		$17.78	$54.95	$104.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $8.91 / $22.91	Professional		$6.31	$8.91	$22.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $13.18 / $28.84	Facility		$5.37	$13.18	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $7.94 / $13.18	Professional		$4.68	$7.94	$13.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $7.94 / $12.59	Professional		$6.92	$7.94	$12.59
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $81.28	Professional		$70.79	$70.79	$81.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $7.94 / $17.38	Professional		$6.31	$7.94	$17.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $7.41 / $13.80	Professional		$6.61	$7.41	$13.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $9.33 / $9.33	Professional		$4.68	$9.33	$9.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $9.33 / $23.44	Facility		$6.46	$9.33	$23.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $7.41 / $17.78	Professional		$4.68	$7.41	$17.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Professional		$27.54	$27.54	$27.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $7.94 / $13.49	Professional		$6.31	$7.94	$13.49
United Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $4.68 / $7.94	Facility		$3.55	$4.68	$7.94
United Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $4.68 / $15.85	Professional		$3.31	$4.68	$15.85