Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.38 / $67.50 / $107.98	Facility		$12.38	$67.50	$107.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.69 / $13.07 / $37.40	Professional		$10.69	$13.07	$37.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.62 / $8.63 / $9.99	Professional		$6.62	$8.63	$9.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.77 / $34.71 / $293.00	Facility		$15.77	$34.71	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.11 / $11.34 / $33.50	Professional		$7.11	$11.34	$33.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $37.27 / $84.90 / $185.01	Facility		$37.27	$84.90	$185.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $8.93 / $12.75 / $69.06	Professional		$8.93	$12.75	$69.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $18.89 / $48.15	Facility		$9.94	$18.89	$48.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.34 / $17.35 / $25.30	Professional		$9.34	$17.35	$25.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $12.38 / $14.39 / $23.02	Professional		$12.38	$14.39	$23.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.51 / $14.39 / $31.37	Professional		$11.51	$14.39	$31.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.52 / $72.00 / $72.00	Facility		$54.52	$72.00	$72.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.63 / $8.63 / $8.63	Professional		$8.63	$8.63	$8.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.95 / $17.21 / $41.12	Facility		$11.95	$17.21	$41.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $14.39 / $28.78	Professional		$9.51	$14.39	$28.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $50.50 / $50.50 / $50.50	Professional		$50.50	$50.50	$50.50
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $11.51 / $14.39 / $20.14	Professional		$11.51	$14.39	$20.14
United Facility/Professional Professional Modifier Low / Median / High Price $6.04 / $8.63 / $31.77	Professional		$6.04	$8.63	$31.77