Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.98 / $37.93 / $149.19	Facility		$13.98	$37.93	$149.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.93 / $20.50 / $33.29	Professional		$9.93	$20.50	$33.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.95 / $9.19	Professional		$7.94	$7.95	$9.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.51 / $31.93 / $293.00	Facility		$14.51	$31.93	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.54 / $10.43 / $30.83	Professional		$6.54	$10.43	$30.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $34.29 / $81.40 / $170.29	Facility		$34.29	$81.40	$170.29
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $8.21 / $11.73 / $63.55	Professional		$8.21	$11.73	$63.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.18 / $17.39 / $44.34	Facility		$9.18	$17.39	$44.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $15.95 / $23.49	Professional		$8.69	$15.95	$23.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $11.77 / $13.24 / $21.18	Professional		$11.77	$13.24	$21.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.59 / $13.24 / $29.53	Professional		$10.59	$13.24	$29.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.40 / $83.15 / $83.15	Facility		$65.40	$83.15	$83.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $7.94	Professional		$7.94	$7.94	$7.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.98 / $15.84 / $37.84	Facility		$10.98	$15.84	$37.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.81 / $13.24 / $26.48	Professional		$8.81	$13.24	$26.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $46.47 / $46.47 / $46.47	Professional		$46.47	$46.47	$46.47
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.59 / $13.24 / $18.54	Professional		$10.59	$13.24	$18.54
United Facility/Professional Professional Modifier Low / Median / High Price $5.56 / $7.88 / $25.76	Professional		$5.56	$7.88	$25.76