Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.99 / $37.79 / $96.95	Facility		$13.99	$37.79	$96.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.99 / $11.98 / $32.58	Professional		$8.99	$11.98	$32.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $7.19 / $8.32	Professional		$5.99	$7.19	$8.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.13 / $28.90 / $293.00	Facility		$13.13	$28.90	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $9.44 / $27.90	Professional		$5.92	$9.44	$27.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $31.03 / $77.09 / $155.78	Facility		$31.03	$77.09	$155.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $10.61 / $57.50	Professional		$7.43	$10.61	$57.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.28 / $15.74 / $40.11	Facility		$8.28	$15.74	$40.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $14.46 / $21.08	Professional		$7.85	$14.46	$21.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $5.90 / $11.98 / $19.17	Professional		$5.90	$11.98	$19.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.58 / $11.98 / $26.36	Professional		$9.58	$11.98	$26.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $42.26 / $192.84 / $192.84	Facility		$42.26	$192.84	$192.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $7.19 / $7.19	Professional		$7.19	$7.19	$7.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $14.38 / $39.00	Facility		$9.94	$14.38	$39.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.88 / $11.98 / $23.96	Professional		$7.88	$11.98	$23.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $42.04 / $42.04 / $42.04	Professional		$42.04	$42.04	$42.04
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $9.58 / $11.98 / $16.77	Professional		$9.58	$11.98	$16.77
United Facility/Professional Professional Modifier Low / Median / High Price $5.03 / $7.13 / $23.18	Professional		$5.03	$7.13	$23.18