Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.98 / $30.95 / $104.51	Facility		$9.98	$30.95	$104.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $9.66 / $12.93	Professional		$8.02	$9.66	$12.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.49 / $6.49 / $7.51	Professional		$6.49	$6.49	$7.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.84 / $26.07 / $293.00	Facility		$11.84	$26.07	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.34 / $8.52 / $27.77	Professional		$5.34	$8.52	$27.77
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $28.00 / $73.73 / $140.52	Facility		$28.00	$73.73	$140.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $6.70 / $9.57 / $51.89	Professional		$6.70	$9.57	$51.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.49 / $14.20 / $36.20	Facility		$7.49	$14.20	$36.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $13.08 / $19.28	Professional		$7.00	$13.08	$19.28
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $10.81 / $17.30	Professional		$9.61	$10.81	$17.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.65 / $10.81 / $24.11	Professional		$8.65	$10.81	$24.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $91.92 / $115.47 / $144.00	Facility		$91.92	$115.47	$144.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.48 / $6.48 / $6.48	Professional		$6.48	$6.48	$6.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.97 / $12.97 / $35.10	Facility		$8.97	$12.97	$35.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $10.81 / $21.62	Professional		$7.19	$10.81	$21.62
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $37.94 / $37.94 / $37.94	Professional		$37.94	$37.94	$37.94
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $8.65 / $10.81 / $15.13	Professional		$8.65	$10.81	$15.13
United Facility/Professional Professional Modifier Low / Median / High Price $4.54 / $6.49 / $20.91	Professional		$4.54	$6.49	$20.91