Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.60 / $42.18 / $104.30	Facility		$13.60	$42.18	$104.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.92 / $11.69 / $23.36	Professional		$9.92	$11.69	$23.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.44 / $6.44 / $7.73	Professional		$6.44	$6.44	$7.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.11 / $31.07 / $293.00	Facility		$14.11	$31.07	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.36 / $10.15 / $33.04	Professional		$6.36	$10.15	$33.04
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $33.36 / $80.09 / $165.60	Facility		$33.36	$80.09	$165.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $7.99 / $11.41 / $61.82	Professional		$7.99	$11.41	$61.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $16.91 / $43.11	Facility		$8.91	$16.91	$43.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.49 / $15.63 / $22.89	Professional		$8.49	$15.63	$22.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $11.45 / $12.88 / $20.61	Professional		$11.45	$12.88	$20.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $12.88 / $28.08	Professional		$10.30	$12.88	$28.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $79.00 / $95.10 / $175.95	Facility		$79.00	$95.10	$175.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.73 / $7.73 / $7.73	Professional		$7.73	$7.73	$7.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.69 / $15.41 / $36.81	Facility		$10.69	$15.41	$36.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.58 / $12.88 / $25.76	Professional		$8.58	$12.88	$25.76
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $45.20 / $45.20 / $45.20	Professional		$45.20	$45.20	$45.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $12.88 / $18.03	Professional		$10.30	$12.88	$18.03
United Facility/Professional Professional Modifier Low / Median / High Price $5.41 / $7.67 / $24.74	Professional		$5.41	$7.67	$24.74