Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.94 / $35.65 / $126.59	Facility		$12.94	$35.65	$126.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $11.10 / $21.90	Professional		$8.15	$11.10	$21.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.13 / $7.35 / $8.51	Professional		$6.13	$7.35	$8.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.42 / $29.55 / $293.00	Facility		$13.42	$29.55	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $9.66 / $28.52	Professional		$6.05	$9.66	$28.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $31.73 / $77.59 / $159.31	Facility		$31.73	$77.59	$159.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $7.60 / $10.85 / $58.80	Professional		$7.60	$10.85	$58.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.49 / $16.07 / $42.63	Facility		$8.49	$16.07	$42.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.06 / $14.87 / $21.68	Professional		$8.06	$14.87	$21.68
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10.89 / $12.25 / $19.60	Professional		$10.89	$12.25	$19.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.80 / $12.25 / $26.95	Professional		$9.80	$12.25	$26.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $79.00 / $91.80 / $91.80	Facility		$79.00	$91.80	$91.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.35 / $7.35 / $7.35	Professional		$7.35	$7.35	$7.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.16 / $14.66 / $35.13	Facility		$10.16	$14.66	$35.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $12.25 / $24.50	Professional		$8.11	$12.25	$24.50
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $42.99 / $42.99 / $42.99	Professional		$42.99	$42.99	$42.99
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $9.80 / $12.25 / $17.14	Professional		$9.80	$12.25	$17.14
United Facility/Professional Professional Modifier Low / Median / High Price $5.15 / $7.29 / $23.53	Professional		$5.15	$7.29	$23.53