Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.34 / $74.16 / $165.60	Facility		$11.34	$74.16	$165.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $4.23 / $6.73	Professional		$2.37	$4.23	$6.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $2.84 / $4.26	Professional		$2.18	$2.84	$4.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.19 / $11.43 / $293.00	Facility		$5.19	$11.43	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $3.73 / $10.17	Professional		$2.34	$3.73	$10.17
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $11.96 / $42.10 / $82.81	Facility		$11.96	$42.10	$82.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2.94 / $4.20 / $22.75	Professional		$2.94	$4.20	$22.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.29 / $6.22 / $15.86	Facility		$3.29	$6.22	$15.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.25 / $5.78 / $7.80	Professional		$3.25	$5.78	$7.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $4.74 / $7.58	Professional		$4.21	$4.74	$7.58
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $158.57 / $158.57 / $158.57	Professional		$158.57	$158.57	$158.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.79 / $4.75 / $10.33	Professional		$3.79	$4.75	$10.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $60.00 / $100.00	Facility		$50.00	$60.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5.30 / $6.89 / $14.11	Professional		$5.30	$6.89	$14.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.84 / $2.84 / $2.84	Professional		$2.84	$2.84	$2.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.94 / $5.67 / $13.59	Facility		$3.94	$5.67	$13.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.40 / $4.97 / $9.48	Professional		$3.40	$4.97	$9.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $16.63 / $16.63 / $16.63	Professional		$16.63	$16.63	$16.63
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $3.79 / $4.74 / $6.64	Professional		$3.79	$4.74	$6.64
United Facility/Professional Facility Modifier Low / Median / High Price $2.13 / $3.25 / $3.52	Facility		$2.13	$3.25	$3.52
United Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $2.84 / $9.51	Professional		$1.99	$2.84	$9.51