Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.67 / $94.34 / $147.75	Facility		$13.67	$94.34	$147.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $11.91 / $23.50	Professional		$9.61	$11.91	$23.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.59 / $8.59 / $8.99	Professional		$6.59	$8.59	$8.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.69 / $34.54 / $293.00	Facility		$15.69	$34.54	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.39 / $10.19 / $29.35	Professional		$6.39	$10.19	$29.35
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $34.53 / $80.50 / $168.24	Facility		$34.53	$80.50	$168.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $11.46 / $68.73	Professional		$8.02	$11.46	$68.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.31 / $18.80 / $47.48	Facility		$9.31	$18.80	$47.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.49 / $16.52 / $21.69	Professional		$8.49	$16.52	$21.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $11.51 / $14.32 / $22.91	Professional		$11.51	$14.32	$22.91
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $14.09 / $14.09 / $14.09	Professional		$14.09	$14.09	$14.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.46 / $14.32 / $31.94	Professional		$11.46	$14.32	$31.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $68.02 / $68.02 / $80.00	Facility		$68.02	$68.02	$80.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $17.89 / $25.14	Professional		$12.89	$17.89	$25.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.59 / $8.59 / $8.59	Professional		$8.59	$8.59	$8.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.74 / $14.68 / $36.31	Facility		$10.74	$14.68	$36.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.49 / $14.32 / $28.01	Professional		$9.49	$14.32	$28.01
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $50.26 / $50.26 / $50.26	Professional		$50.26	$50.26	$50.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $11.46 / $11.74 / $16.11	Professional		$11.46	$11.74	$16.11
United Facility/Professional Professional Modifier Low / Median / High Price $6.01 / $7.70 / $25.77	Professional		$6.01	$7.70	$25.77