Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $56.23 / $177.83	Facility		$6.76	$56.23	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $93.33	Professional		$15.85	$19.95	$93.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.18 / $21.88	Professional		$10.00	$13.18	$21.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $50.12 / $109.65	Facility		$12.30	$50.12	$109.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $18.62 / $61.66	Professional		$10.72	$18.62	$61.66
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 / $69.18	Professional		$17.38	$25.12	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $36.31 / $79.43	Facility		$14.79	$36.31	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $21.88 / $36.31	Professional		$13.80	$21.88	$36.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $21.88 / $34.67	Professional		$18.62	$21.88	$34.67
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $21.88 / $48.98	Professional		$17.38	$21.88	$48.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $27.54 / $69.18	Professional		$18.62	$27.54	$69.18
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 / $61.66	Facility		$18.20	$26.30	$61.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $19.95 / $50.12	Professional		$12.88	$19.95	$50.12
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $22.39 / $37.15	Professional		$17.38	$22.39	$37.15
United Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $13.18 / $21.88	Facility		$9.77	$13.18	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $13.18 / $43.65	Professional		$9.12	$13.18	$43.65