Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.00 / $22.56 / $94.21	Facility		$6.00	$22.56	$94.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.53 / $9.93 / $18.62	Professional		$8.53	$9.93	$18.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.70 / $6.83 / $7.91	Professional		$5.70	$6.83	$7.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.48 / $27.47 / $293.00	Facility		$12.48	$27.47	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $8.97 / $26.52	Professional		$5.62	$8.97	$26.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $29.50 / $75.90 / $147.96	Facility		$29.50	$75.90	$147.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $7.06 / $10.08 / $54.67	Professional		$7.06	$10.08	$54.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.88 / $14.95 / $38.11	Facility		$7.88	$14.95	$38.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $13.71 / $20.48	Professional		$7.43	$13.71	$20.48
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $11.39 / $18.22	Professional		$10.11	$11.39	$18.22
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $12.40 / $12.40 / $12.40	Professional		$12.40	$12.40	$12.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $11.39 / $25.06	Professional		$9.11	$11.39	$25.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $60.00 / $100.00	Facility		$58.00	$60.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10.25 / $14.24 / $21.38	Professional		$10.25	$14.24	$21.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $6.83 / $6.83	Professional		$6.83	$6.83	$6.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.44 / $13.67 / $34.38	Facility		$9.44	$13.67	$34.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $11.39 / $22.78	Professional		$7.65	$11.39	$22.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $39.97 / $39.97 / $39.97	Professional		$39.97	$39.97	$39.97
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $11.39 / $15.95	Professional		$9.11	$11.39	$15.95
United Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $6.83 / $21.88	Professional		$4.78	$6.83	$21.88