Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.07 / $37.54 / $136.50	Facility		$5.07	$37.54	$136.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $11.89 / $23.38	Professional		$9.69	$11.89	$23.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.04 / $7.87 / $9.11	Professional		$6.04	$7.87	$9.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.38 / $31.65 / $293.00	Facility		$14.38	$31.65	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.48 / $10.34 / $33.42	Professional		$6.48	$10.34	$33.42
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $33.97 / $81.20 / $170.47	Facility		$33.97	$81.20	$170.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $11.62 / $62.98	Professional		$8.13	$11.62	$62.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.09 / $17.23 / $43.93	Facility		$9.09	$17.23	$43.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.49 / $15.95 / $23.49	Professional		$8.49	$15.95	$23.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $11.66 / $13.12 / $20.99	Professional		$11.66	$13.12	$20.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $13.12 / $28.60	Professional		$10.50	$13.12	$28.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $59.61 / $75.80 / $128.35	Facility		$59.61	$75.80	$128.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.87 / $7.87 / $7.87	Professional		$7.87	$7.87	$7.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.88 / $15.69 / $37.51	Facility		$10.88	$15.69	$37.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.81 / $13.12 / $26.24	Professional		$8.81	$13.12	$26.24
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $46.05 / $46.05 / $46.05	Professional		$46.05	$46.05	$46.05
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $13.12 / $18.37	Professional		$10.50	$13.12	$18.37
United Facility/Professional Professional Modifier Low / Median / High Price $5.51 / $7.80 / $25.20	Professional		$5.51	$7.80	$25.20