Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $53.70 / $208.93	Facility		$8.13	$53.70	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $97.72	Professional		$15.85	$19.95	$97.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.18 / $14.79	Professional		$10.96	$13.18	$14.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $51.29 / $109.65	Facility		$12.59	$51.29	$109.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $19.05 / $64.57	Professional		$10.96	$19.05	$64.57
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $87.10 / $295.12	Facility		$47.86	$87.10	$295.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $25.12 / $70.79	Professional		$17.38	$25.12	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $37.15 / $81.28	Facility		$14.79	$37.15	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $21.88 / $36.31	Professional		$13.18	$21.88	$36.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $21.88 / $35.48	Professional		$19.50	$21.88	$35.48
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $21.88 / $47.86	Professional		$17.78	$21.88	$47.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $26.30 / $26.30	Professional		$13.18	$26.30	$26.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $26.30 / $67.61	Facility		$18.20	$26.30	$67.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $20.42 / $50.12	Professional		$13.18	$20.42	$50.12
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $22.39 / $37.15	Professional		$17.78	$22.39	$37.15
United Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $15.14 / $21.88	Facility		$10.00	$15.14	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $13.18 / $43.65	Professional		$9.33	$13.18	$43.65