Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.38 / $37.13 / $116.93	Facility		$12.38	$37.13	$116.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.59 / $14.82 / $32.43	Professional		$9.59	$14.82	$32.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $7.43 / $7.43	Professional		$7.43	$7.43	$7.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.58 / $29.88 / $293.00	Facility		$13.58	$29.88	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.12 / $9.76 / $31.77	Professional		$6.12	$9.76	$31.77
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $32.09 / $78.30 / $161.08	Facility		$32.09	$78.30	$161.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $7.68 / $10.97 / $59.47	Professional		$7.68	$10.97	$59.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.58 / $16.26 / $41.46	Facility		$8.58	$16.26	$41.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.06 / $14.99 / $22.29	Professional		$8.06	$14.99	$22.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $11.01 / $12.39 / $19.82	Professional		$11.01	$12.39	$19.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $12.39 / $28.08	Professional		$9.91	$12.39	$28.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $88.15 / $112.08 / $112.08	Facility		$88.15	$112.08	$112.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $7.43 / $7.43	Professional		$7.43	$7.43	$7.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.27 / $14.82 / $35.40	Facility		$10.27	$14.82	$35.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.35 / $12.39 / $24.78	Professional		$8.35	$12.39	$24.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $43.48 / $43.48 / $43.48	Professional		$43.48	$43.48	$43.48
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $12.39 / $17.35	Professional		$9.91	$12.39	$17.35
United Facility/Professional Professional Modifier Low / Median / High Price $5.20 / $7.37 / $23.80	Professional		$5.20	$7.37	$23.80