Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $64.57 / $199.53	Facility		$19.50	$64.57	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $17.78 / $123.03	Professional		$14.13	$17.78	$123.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $11.75 / $13.49	Professional		$9.77	$11.75	$13.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $45.71 / $97.72	Facility		$11.22	$45.71	$97.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $16.98 / $57.54	Professional		$9.77	$16.98	$57.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $87.10 / $263.03	Facility		$44.67	$87.10	$263.03
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $22.39 / $57.54	Professional		$15.49	$22.39	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $33.88 / $81.28	Facility		$13.18	$33.88	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $22.91 / $33.11	Professional		$11.48	$22.91	$33.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $19.50 / $31.62	Professional		$17.38	$19.50	$31.62
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.50 / $44.67	Professional		$15.85	$19.50	$44.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $18.62 / $34.67	Professional		$16.60	$18.62	$34.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $23.44 / $23.44	Professional		$11.75	$23.44	$23.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $23.44 / $57.54	Facility		$16.22	$23.44	$57.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $17.38 / $44.67	Professional		$11.48	$17.38	$44.67
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.50 / $29.51	Professional		$15.85	$19.50	$29.51
United Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $11.75 / $19.50	Facility		$8.91	$11.75	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $11.75 / $38.90	Professional		$8.32	$11.75	$38.90