Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.26 / $71.76 / $162.47	Facility		$16.26	$71.76	$162.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.03 / $12.12 / $23.70	Professional		$9.03	$12.12	$23.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.80 / $6.80 / $9.44	Professional		$6.80	$6.80	$9.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.90 / $32.79 / $293.00	Facility		$14.90	$32.79	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $10.71 / $31.66	Professional		$6.72	$10.71	$31.66
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $35.22 / $82.84 / $174.80	Facility		$35.22	$82.84	$174.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $8.43 / $12.04 / $65.28	Professional		$8.43	$12.04	$65.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.42 / $17.86 / $45.53	Facility		$9.42	$17.86	$45.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.03 / $16.22 / $22.58	Professional		$9.03	$16.22	$22.58
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $12.09 / $13.60 / $21.76	Professional		$12.09	$13.60	$21.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.88 / $13.60 / $29.92	Professional		$10.88	$13.60	$29.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $57.26 / $72.80 / $72.80	Facility		$57.26	$72.80	$72.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.16 / $8.16 / $8.16	Professional		$8.16	$8.16	$8.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.28 / $15.50 / $37.40	Facility		$11.28	$15.50	$37.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.03 / $13.60 / $27.20	Professional		$9.03	$13.60	$27.20
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $47.73 / $47.73 / $47.73	Professional		$47.73	$47.73	$47.73
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.88 / $13.60 / $19.04	Professional		$10.88	$13.60	$19.04
United Facility/Professional Professional Modifier Low / Median / High Price $5.71 / $8.16 / $27.02	Professional		$5.71	$8.16	$27.02