Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.29 / $52.55 / $120.22	Facility		$12.29	$52.55	$120.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.73 / $12.29 / $74.78	Professional		$7.73	$12.29	$74.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.98 / $6.98 / $6.98	Professional		$6.98	$6.98	$6.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.74 / $28.05 / $293.00	Facility		$12.74	$28.05	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.74 / $9.16 / $26.99	Professional		$5.74	$9.16	$26.99
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $30.12 / $77.09 / $151.22	Facility		$30.12	$77.09	$151.22
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $7.21 / $10.30 / $55.82	Professional		$7.21	$10.30	$55.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.06 / $15.27 / $40.49	Facility		$8.06	$15.27	$40.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.64 / $14.03 / $20.48	Professional		$7.64	$14.03	$20.48
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $11.63 / $18.61	Professional		$10.34	$11.63	$18.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.30 / $11.63 / $25.35	Professional		$9.30	$11.63	$25.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $77.00 / $100.00	Facility		$58.00	$77.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.81 / $5.81 / $5.81	Professional		$5.81	$5.81	$5.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.72 / $13.96 / $38.42	Facility		$8.72	$13.96	$38.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $11.63 / $23.26	Professional		$7.65	$11.63	$23.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $40.82 / $40.82 / $40.82	Professional		$40.82	$40.82	$40.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $9.30 / $11.63 / $16.28	Professional		$9.30	$11.63	$16.28
United Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $6.92 / $22.49	Professional		$4.88	$6.92	$22.49