Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $151.36 / $398.11	Facility		$26.92	$151.36	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $18.20 / $97.72	Professional		$12.88	$18.20	$97.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $9.12 / $18.20	Professional		$5.01	$9.12	$18.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $34.67 / $75.86	Facility		$8.71	$34.67	$75.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $12.59 / $42.66	Professional		$7.41	$12.59	$42.66
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $81.28 / $204.17	Facility		$33.88	$81.28	$204.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $16.98 / $43.65	Professional		$12.02	$16.98	$43.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $25.70 / $63.10	Facility		$10.47	$25.70	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $11.75 / $26.30	Professional		$9.33	$11.75	$26.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $15.14 / $23.99	Professional		$13.18	$15.14	$23.99
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $97.72	Professional		$85.11	$85.11	$97.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $33.88	Professional		$12.02	$15.14	$33.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $100.00	Facility		$75.86	$75.86	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $26.92 / $134.90	Professional		$13.49	$26.92	$134.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $18.20	Professional		$9.12	$9.12	$18.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $18.20 / $47.86	Facility		$12.30	$18.20	$47.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $15.14 / $32.36	Professional		$8.91	$15.14	$32.36
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.49 / $25.70	Professional		$12.02	$15.49	$25.70
United Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $9.12 / $15.14	Facility		$6.76	$9.12	$15.14
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $12.88 / $30.20	Professional		$9.12	$12.88	$30.20