Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.67 / $52.77 / $188.97	Facility		$13.67	$52.77	$188.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.29 / $15.49 / $80.78	Professional		$11.29	$15.49	$80.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $8.64 / $10.79	Professional		$5.77	$8.64	$10.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.92 / $41.66 / $293.00	Facility		$18.92	$41.66	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.91 / $10.50 / $34.36	Professional		$6.91	$10.50	$34.36
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $35.82 / $80.50 / $166.43	Facility		$35.82	$80.50	$166.43
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $11.46 / $44.76	Professional		$8.02	$11.46	$44.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.23 / $22.68 / $56.54	Facility		$11.23	$22.68	$56.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.49 / $19.82 / $26.33	Professional		$9.49	$19.82	$26.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10.24 / $17.27 / $27.63	Professional		$10.24	$17.27	$27.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $17.27 / $38.52	Professional		$13.82	$17.27	$38.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $97.24 / $123.64 / $123.64	Facility		$97.24	$123.64	$123.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15.54 / $19.68 / $30.28	Professional		$15.54	$19.68	$30.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.36 / $10.36 / $10.36	Professional		$10.36	$10.36	$10.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.09 / $19.00 / $43.80	Facility		$12.09	$19.00	$43.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $16.73 / $27.89	Professional		$9.60	$16.73	$27.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $60.61 / $60.61 / $60.61	Professional		$60.61	$60.61	$60.61
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $17.27 / $24.18	Professional		$13.82	$17.27	$24.18
United Facility/Professional Facility Modifier Low / Median / High Price $7.25 / $17.27 / $17.27	Facility		$7.25	$17.27	$17.27
United Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $7.79 / $29.16	Professional		$7.25	$7.79	$29.16