Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $47.86 / $151.36	Facility		$8.71	$47.86	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $15.49 / $61.66	Professional		$12.59	$15.49	$61.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $11.22 / $31.62	Professional		$10.23	$11.22	$31.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $39.81 / $85.11	Facility		$9.77	$39.81	$85.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $14.45 / $48.98	Professional		$8.32	$14.45	$48.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $85.11 / $229.09	Facility		$38.90	$85.11	$229.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $19.50 / $48.98	Professional		$13.49	$19.50	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $28.84 / $63.10	Facility		$11.48	$28.84	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $16.98 / $28.18	Professional		$10.00	$16.98	$28.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $16.98 / $27.54	Professional		$15.14	$16.98	$27.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $16.98 / $38.02	Professional		$13.49	$16.98	$38.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $16.22 / $30.20	Professional		$14.45	$16.22	$30.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $20.42 / $20.42	Professional		$10.23	$20.42	$20.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $20.42 / $51.29	Facility		$14.13	$20.42	$51.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.85 / $38.90	Professional		$10.00	$15.85	$38.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $17.38 / $28.84	Professional		$13.49	$17.38	$28.84
United Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $10.23 / $16.98	Facility		$7.59	$10.23	$16.98
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.23 / $33.88	Professional		$7.08	$10.23	$33.88