Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.84 / $44.92 / $171.89	Facility		$11.84	$44.92	$171.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.92 / $16.35 / $22.44	Professional		$13.92	$16.35	$22.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $11.25 / $11.25	Professional		$11.25	$11.25	$11.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.54 / $45.23 / $293.00	Facility		$20.54	$45.23	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.26 / $14.78 / $42.00	Professional		$9.26	$14.78	$42.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $45.10 / $87.40 / $241.13	Facility		$45.10	$87.40	$241.13
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $11.62 / $16.60 / $64.86	Professional		$11.62	$16.60	$64.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.97 / $24.62 / $62.78	Facility		$12.97	$24.62	$62.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.31 / $22.64 / $33.13	Professional		$12.31	$22.64	$33.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $16.67 / $18.75 / $30.00	Professional		$16.67	$18.75	$30.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $18.75 / $41.25	Professional		$15.00	$18.75	$41.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $82.45 / $89.64 / $100.00	Facility		$82.45	$89.64	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $11.25 / $11.25	Professional		$11.25	$11.25	$11.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.55 / $21.91 / $54.60	Facility		$15.55	$21.91	$54.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.52 / $18.75 / $37.50	Professional		$12.52	$18.75	$37.50
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $65.81 / $65.81 / $65.81	Professional		$65.81	$65.81	$65.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $18.75 / $26.25	Professional		$15.00	$18.75	$26.25
United Facility/Professional Professional Modifier Low / Median / High Price $7.88 / $11.25 / $37.63	Professional		$7.88	$11.25	$37.63