Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.32 / $71.63 / $163.46	Facility		$15.32	$71.63	$163.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.21 / $17.35 / $78.73	Professional		$11.21	$17.35	$78.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.43 / $8.43 / $15.17	Professional		$8.43	$8.43	$15.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.46 / $40.64 / $293.00	Facility		$18.46	$40.64	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.16 / $11.43 / $34.54	Professional		$7.16	$11.43	$34.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $38.71 / $84.90 / $186.58	Facility		$38.71	$84.90	$186.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $12.85 / $50.15	Professional		$9.00	$12.85	$50.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.95 / $22.12 / $55.13	Facility		$10.95	$22.12	$55.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.65 / $20.65 / $30.12	Professional		$10.65	$20.65	$30.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $12.95 / $16.85 / $26.96	Professional		$12.95	$16.85	$26.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.48 / $16.85 / $36.72	Professional		$13.48	$16.85	$36.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $53.68 / $80.04 / $80.04	Facility		$53.68	$80.04	$80.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $10.11 / $10.11	Professional		$10.11	$10.11	$10.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.52 / $18.66 / $44.70	Facility		$12.52	$18.66	$44.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.89 / $16.85 / $31.64	Professional		$10.89	$16.85	$31.64
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $59.14 / $59.14 / $59.14	Professional		$59.14	$59.14	$59.14
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $13.48 / $16.85 / $23.59	Professional		$13.48	$16.85	$23.59
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.73 / $29.00	Professional		$7.08	$8.73	$29.00