Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.31 / $33.44 / $139.78	Facility		$10.31	$33.44	$139.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.27 / $25.54 / $44.40	Professional		$11.27	$25.54	$44.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $10.44 / $11.52	Professional		$9.02	$10.44	$11.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.47 / $36.25 / $293.00	Facility		$16.47	$36.25	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.42 / $11.84 / $34.96	Professional		$7.42	$11.84	$34.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $38.93 / $85.05 / $193.20	Facility		$38.93	$85.05	$193.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $9.32 / $13.31 / $72.14	Professional		$9.32	$13.31	$72.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.41 / $19.73 / $50.32	Facility		$10.41	$19.73	$50.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.76 / $18.17 / $26.50	Professional		$9.76	$18.17	$26.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $13.36 / $15.03 / $24.05	Professional		$13.36	$15.03	$24.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.03 / $34.06	Professional		$12.02	$15.03	$34.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $83.02 / $104.29 / $142.80	Facility		$83.02	$104.29	$142.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $9.02 / $9.02	Professional		$9.02	$9.02	$9.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.46 / $17.98 / $42.97	Facility		$12.46	$17.98	$42.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.97 / $15.03 / $30.06	Professional		$9.97	$15.03	$30.06
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $52.75 / $52.75	Professional		$52.75	$52.75	$52.75
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.03 / $21.04	Professional		$12.02	$15.03	$21.04
United Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $8.94 / $29.07	Professional		$6.31	$8.94	$29.07