Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.25 / $33.42 / $118.05	Facility		$11.25	$33.42	$118.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.67 / $10.18 / $20.80	Professional		$8.67	$10.18	$20.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $7.00 / $8.11	Professional		$7.00	$7.00	$8.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.79 / $28.15 / $293.00	Facility		$12.79	$28.15	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.76 / $9.19 / $27.18	Professional		$5.76	$9.19	$27.18
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $30.23 / $77.09 / $151.78	Facility		$30.23	$77.09	$151.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $10.34 / $56.02	Professional		$7.24	$10.34	$56.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.10 / $15.33 / $39.09	Facility		$8.10	$15.33	$39.09
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 $10.37 / $11.67 / $18.67	Professional		$10.37	$11.67	$18.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.34 / $11.67 / $25.44	Professional		$9.34	$11.67	$25.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $60.00 / $100.00	Facility		$50.00	$60.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $7.00 / $7.00	Professional		$7.00	$7.00	$7.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.68 / $13.51 / $29.18	Facility		$9.68	$13.51	$29.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $11.67 / $23.34	Professional		$7.65	$11.67	$23.34
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $40.96 / $40.96 / $40.96	Professional		$40.96	$40.96	$40.96
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $9.34 / $11.67 / $16.34	Professional		$9.34	$11.67	$16.34
United Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $7.00 / $22.71	Professional		$4.90	$7.00	$22.71