Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.17 / $47.59 / $118.99	Facility		$12.17	$47.59	$118.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.67 / $10.09 / $13.79	Professional		$7.67	$10.09	$13.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $6.92	Professional		$6.92	$6.92	$6.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.63 / $27.81 / $293.00	Facility		$12.63	$27.81	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.69 / $9.08 / $26.42	Professional		$5.69	$9.08	$26.42
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $29.86 / $76.48 / $149.72	Facility		$29.86	$76.48	$149.72
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $7.15 / $10.21 / $55.34	Professional		$7.15	$10.21	$55.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.96 / $15.13 / $38.57	Facility		$7.96	$15.13	$38.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $14.03 / $20.48	Professional		$7.43	$14.03	$20.48
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10.24 / $11.53 / $18.45	Professional		$10.24	$11.53	$18.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.22 / $11.53 / $25.14	Professional		$9.22	$11.53	$25.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $70.00 / $90.00	Facility		$55.00	$70.00	$90.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $6.92	Professional		$6.92	$6.92	$6.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.56 / $13.26 / $32.81	Facility		$9.56	$13.26	$32.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $11.53 / $23.06	Professional		$7.65	$11.53	$23.06
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $40.47 / $40.47 / $40.47	Professional		$40.47	$40.47	$40.47
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $9.22 / $11.53 / $16.14	Professional		$9.22	$11.53	$16.14
United Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $6.85 / $23.14	Professional		$4.84	$6.85	$23.14