Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.21 / $42.41 / $131.97	Facility		$11.21	$42.41	$131.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.06 / $13.69 / $49.47	Professional		$8.06	$13.69	$49.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.61 / $9.13 / $9.13	Professional		$7.61	$9.13	$9.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.67 / $36.69 / $293.00	Facility		$16.67	$36.69	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.51 / $11.98 / $32.29	Professional		$7.51	$11.98	$32.29
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $34.11 / $80.00 / $166.10	Facility		$34.11	$80.00	$166.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $9.43 / $13.47 / $73.01	Professional		$9.43	$13.47	$73.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.54 / $19.98 / $50.93	Facility		$10.54	$19.98	$50.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.97 / $18.50 / $27.11	Professional		$9.97	$18.50	$27.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $13.52 / $15.21 / $24.34	Professional		$13.52	$15.21	$24.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.17 / $15.21 / $34.47	Professional		$12.17	$15.21	$34.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $79.00 / $86.70	Facility		$55.00	$79.00	$86.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $9.12	Professional		$9.12	$9.12	$9.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.63 / $17.80 / $40.36	Facility		$12.63	$17.80	$40.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $15.21 / $30.42	Professional		$10.19	$15.21	$30.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $53.38 / $53.38 / $53.38	Professional		$53.38	$53.38	$53.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $12.17 / $15.21 / $21.29	Professional		$12.17	$15.21	$21.29
United Facility/Professional Professional Modifier Low / Median / High Price $6.39 / $9.05 / $29.22	Professional		$6.39	$9.05	$29.22