Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.15 / $34.81 / $79.65	Facility		$8.15	$34.81	$79.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.72 / $6.98 / $12.60	Professional		$5.72	$6.98	$12.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $4.63 / $4.63	Professional		$4.63	$4.63	$4.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.44 / $18.60 / $293.00	Facility		$8.44	$18.60	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $6.08 / $17.89	Professional		$3.80	$6.08	$17.89
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $19.97 / $60.53 / $101.35	Facility		$19.97	$60.53	$101.35
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $6.83 / $37.01	Professional		$4.78	$6.83	$37.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.34 / $10.11 / $25.80	Facility		$5.34	$10.11	$25.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $9.27 / $13.85	Professional		$5.09	$9.27	$13.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $6.85 / $7.71 / $12.34	Professional		$6.85	$7.71	$12.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $7.71 / $17.20	Professional		$6.17	$7.71	$17.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $77.63 / $82.25 / $109.00	Facility		$77.63	$82.25	$109.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.62 / $4.62 / $4.62	Professional		$4.62	$4.62	$4.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.39 / $9.25 / $23.40	Facility		$6.39	$9.25	$23.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $7.71 / $15.42	Professional		$5.09	$7.71	$15.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $27.06 / $27.06 / $27.06	Professional		$27.06	$27.06	$27.06
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $7.71 / $10.79	Professional		$6.17	$7.71	$10.79
United Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $4.63 / $14.81	Professional		$3.24	$4.63	$14.81