Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $67.61 / $173.78	Facility		$12.02	$67.61	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $16.60 / $83.18	Professional		$9.55	$16.60	$83.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.24 / $19.05	Professional		$6.03	$7.24	$19.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $28.18 / $60.26	Facility		$6.92	$28.18	$60.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $10.23 / $35.48	Professional		$5.89	$10.23	$35.48
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $72.44 / $162.18	Facility		$26.92	$72.44	$162.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $13.80 / $34.67	Professional		$9.55	$13.80	$34.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $19.95 / $43.65	Facility		$7.94	$19.95	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $12.02 / $19.95	Professional		$7.08	$12.02	$19.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $12.02 / $19.05	Professional		$10.47	$12.02	$19.05
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.02 / $26.92	Professional		$9.55	$12.02	$26.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $11.48 / $22.91	Professional		$10.23	$11.48	$22.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $14.45 / $14.45	Professional		$7.24	$14.45	$14.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $14.45 / $35.48	Facility		$10.00	$14.45	$35.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $11.22 / $27.54	Professional		$7.08	$11.22	$27.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.30 / $20.42	Professional		$9.55	$12.30	$20.42
United Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $7.24 / $12.02	Facility		$5.37	$7.24	$12.02
United Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.24 / $23.99	Professional		$5.01	$7.24	$23.99