Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.41 / $97.24 / $165.00	Facility		$9.41	$97.24	$165.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.61 / $16.67 / $27.58	Professional		$13.61	$16.67	$27.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $11.03 / $16.55	Professional		$8.27	$11.03	$16.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.14 / $44.36 / $293.00	Facility		$20.14	$44.36	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.08 / $14.49 / $42.80	Professional		$9.08	$14.49	$42.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $45.10 / $87.40 / $236.44	Facility		$45.10	$87.40	$236.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $11.40 / $16.29 / $63.61	Professional		$11.40	$16.29	$63.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.75 / $24.14 / $61.54	Facility		$12.75	$24.14	$61.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.10 / $22.30 / $32.53	Professional		$12.10	$22.30	$32.53
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $12.87 / $18.39 / $29.42	Professional		$12.87	$18.39	$29.42
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $40.36 / $40.36 / $40.36	Professional		$40.36	$40.36	$40.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.71 / $18.39 / $41.02	Professional		$14.71	$18.39	$41.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $45.06 / $96.88 / $96.88	Facility		$45.06	$96.88	$96.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $22.99 / $34.82	Professional		$16.55	$22.99	$34.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $11.03 / $11.03	Professional		$11.03	$11.03	$11.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.27 / $22.01 / $52.56	Facility		$15.27	$22.01	$52.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.29 / $18.39 / $36.78	Professional		$12.29	$18.39	$36.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $64.54 / $64.54 / $64.54	Professional		$64.54	$64.54	$64.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.71 / $18.39 / $25.75	Professional		$14.71	$18.39	$25.75
United Facility/Professional Professional Modifier Low / Median / High Price $7.72 / $11.03 / $35.33	Professional		$7.72	$11.03	$35.33