Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.07 / $66.44 / $219.00	Facility		$10.07	$66.44	$219.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $19.55 / $40.00	Professional		$14.45	$19.55	$40.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.23 / $13.04	Professional		$10.00	$11.23	$13.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.81 / $52.41 / $293.00	Facility		$23.81	$52.41	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $17.12 / $48.72	Professional		$10.73	$17.12	$48.72
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $48.46 / $89.10 / $276.58	Facility		$48.46	$89.10	$276.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $13.48 / $19.25 / $62.36	Professional		$13.48	$19.25	$62.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.04 / $28.52 / $72.72	Facility		$15.04	$28.52	$72.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.38 / $25.87 / $36.13	Professional		$14.38	$25.87	$36.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $18.72 / $21.73 / $34.77	Professional		$18.72	$21.73	$34.77
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $79.92 / $79.92 / $79.92	Professional		$79.92	$79.92	$79.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $21.74 / $49.24	Professional		$17.38	$21.74	$49.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $66.64 / $103.80 / $103.80	Facility		$66.64	$103.80	$103.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $27.16 / $41.28	Professional		$19.55	$27.16	$41.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.04 / $13.04 / $13.04	Professional		$13.04	$13.04	$13.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.04 / $25.13 / $56.48	Facility		$18.04	$25.13	$56.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.38 / $21.73 / $43.46	Professional		$14.38	$21.73	$43.46
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $76.27 / $76.27 / $76.27	Professional		$76.27	$76.27	$76.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $21.73 / $30.42	Professional		$17.38	$21.73	$30.42
United Facility/Professional Professional Modifier Low / Median / High Price $9.13 / $12.93 / $42.03	Professional		$9.13	$12.93	$42.03