Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $77.62 / $194.98	Facility		$14.79	$77.62	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.88 / $81.28	Professional		$8.91	$12.88	$81.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $6.31 / $8.91	Professional		$4.27	$6.31	$8.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $29.51 / $64.57	Facility		$7.24	$29.51	$64.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $10.96 / $36.31	Professional		$6.31	$10.96	$36.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $75.86 / $173.78	Facility		$28.84	$75.86	$173.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $14.45 / $37.15	Professional		$10.23	$14.45	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $21.38 / $46.77	Facility		$8.51	$21.38	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $14.45 / $22.91	Professional		$8.13	$14.45	$22.91
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.88 / $20.42	Professional		$10.96	$12.88	$20.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.88 / $26.92	Professional		$10.23	$12.88	$26.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $12.02 / $22.39	Professional		$10.72	$12.02	$22.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $15.14 / $15.14	Professional		$7.59	$15.14	$15.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $15.14 / $38.02	Facility		$10.47	$15.14	$38.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $12.88 / $28.18	Professional		$7.59	$12.88	$28.18
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.88 / $21.88	Professional		$10.23	$12.88	$21.88
United Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $7.59 / $12.88	Facility		$5.75	$7.59	$12.88
United Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $7.59 / $25.70	Professional		$5.37	$7.59	$25.70