Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.51 / $61.62 / $143.58	Facility		$13.51	$61.62	$143.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.59 / $11.41 / $17.55	Professional		$9.59	$11.41	$17.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.67 / $7.67 / $8.89	Professional		$7.67	$7.67	$8.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.01 / $30.85 / $293.00	Facility		$14.01	$30.85	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.32 / $10.08 / $29.79	Professional		$6.32	$10.08	$29.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $33.13 / $80.00 / $166.28	Facility		$33.13	$80.00	$166.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $7.93 / $11.33 / $61.39	Professional		$7.93	$11.33	$61.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.85 / $16.79 / $42.80	Facility		$8.85	$16.79	$42.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.58 / $15.06 / $21.35	Professional		$8.58	$15.06	$21.35
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $11.37 / $12.79 / $20.46	Professional		$11.37	$12.79	$20.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.79 / $28.00	Professional		$10.23	$12.79	$28.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $61.32 / $100.00	Facility		$58.00	$61.32	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.67 / $7.67 / $7.67	Professional		$7.67	$7.67	$7.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.62 / $15.35 / $36.58	Facility		$10.62	$15.35	$36.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.58 / $12.79 / $25.58	Professional		$8.58	$12.79	$25.58
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $44.89 / $44.89 / $44.89	Professional		$44.89	$44.89	$44.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.79 / $17.91	Professional		$10.23	$12.79	$17.91
United Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $7.61 / $24.57	Professional		$5.37	$7.61	$24.57