Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.27 / $31.35 / $112.21	Facility		$9.27	$31.35	$112.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.58 / $10.44 / $20.70	Professional		$8.58	$10.44	$20.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.97 / $6.97 / $8.06	Professional		$6.97	$6.97	$8.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.72 / $28.00 / $293.00	Facility		$12.72	$28.00	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $9.14 / $29.75	Professional		$5.73	$9.14	$29.75
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $30.07 / $77.00 / $150.66	Facility		$30.07	$77.00	$150.66
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $10.28 / $55.73	Professional		$7.20	$10.28	$55.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.02 / $15.25 / $38.88	Facility		$8.02	$15.25	$38.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.64 / $14.03 / $20.48	Professional		$7.64	$14.03	$20.48
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10.32 / $11.61 / $18.57	Professional		$10.32	$11.61	$18.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.28 / $11.61 / $25.90	Professional		$9.28	$11.61	$25.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $108.14 / $137.50 / $137.50	Facility		$108.14	$137.50	$137.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.96 / $6.96 / $6.96	Professional		$6.96	$6.96	$6.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.63 / $13.87 / $33.32	Facility		$9.63	$13.87	$33.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $11.61 / $23.22	Professional		$7.65	$11.61	$23.22
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $40.75 / $40.75 / $40.75	Professional		$40.75	$40.75	$40.75
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $9.28 / $11.61 / $16.25	Professional		$9.28	$11.61	$16.25
United Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $6.97 / $22.42	Professional		$4.88	$6.97	$22.42