Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.38 / $53.31 / $100.03	Facility		$10.38	$53.31	$100.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.67 / $9.77 / $15.05	Professional		$6.67	$9.77	$15.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.33 / $5.33 / $5.33	Professional		$5.33	$5.33	$5.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.74 / $21.44 / $293.00	Facility		$9.74	$21.44	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.38 / $7.00 / $22.76	Professional		$4.38	$7.00	$22.76
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $23.03 / $67.63 / $115.41	Facility		$23.03	$67.63	$115.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $5.51 / $7.87 / $17.39	Professional		$5.51	$7.87	$17.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.14 / $11.68 / $29.77	Facility		$6.14	$11.68	$29.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $10.74 / $15.66	Professional		$5.73	$10.74	$15.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $7.90 / $8.89 / $14.22	Professional		$7.90	$8.89	$14.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7.11 / $8.89 / $20.00	Professional		$7.11	$8.89	$20.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $60.00 / $60.00	Facility		$50.00	$60.00	$60.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.33 / $5.33 / $5.33	Professional		$5.33	$5.33	$5.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.38 / $10.67 / $25.39	Facility		$7.38	$10.67	$25.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.80 / $8.89 / $17.78	Professional		$5.80	$8.89	$17.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $31.20 / $31.20 / $31.20	Professional		$31.20	$31.20	$31.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $7.11 / $8.89 / $12.45	Professional		$7.11	$8.89	$12.45
United Facility/Professional Professional Modifier Low / Median / High Price $3.73 / $5.28 / $17.17	Professional		$3.73	$5.28	$17.17