Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $57.54 / $177.83	Facility		$8.91	$57.54	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.05 / $138.04	Professional		$15.85	$19.05	$138.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $12.88 / $12.88	Professional		$5.75	$12.88	$12.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $48.98 / $107.15	Facility		$12.30	$48.98	$107.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $18.20 / $66.07	Professional		$10.47	$18.20	$66.07
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $85.11 / $245.47	Facility		$45.71	$85.11	$245.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $23.99 / $60.26	Professional		$16.60	$23.99	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $35.48 / $77.62	Facility		$14.13	$35.48	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $21.38 / $35.48	Professional		$13.49	$21.38	$35.48
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.38 / $33.88	Professional		$18.20	$21.38	$33.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $21.38 / $47.86	Professional		$16.98	$21.38	$47.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $128.82 / $181.97	Facility		$114.82	$128.82	$181.97
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $20.42 / $38.02	Professional		$18.20	$20.42	$38.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $25.70 / $25.70	Professional		$12.88	$25.70	$25.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $25.70 / $63.10	Facility		$17.78	$25.70	$63.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $19.50 / $47.86	Professional		$12.59	$19.50	$47.86
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $21.88 / $36.31	Professional		$16.98	$21.88	$36.31
United Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $12.88 / $21.38	Facility		$9.55	$12.88	$21.38
United Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.88 / $42.66	Professional		$8.91	$12.88	$42.66