Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.19 / $35.71 / $293.66	Facility		$6.19	$35.71	$293.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $4.93 / $33.31	Professional		$3.44	$4.93	$33.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $3.11 / $3.11	Professional		$3.11	$3.11	$3.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.68 / $12.49 / $293.00	Facility		$5.68	$12.49	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $4.08 / $13.28	Professional		$2.56	$4.08	$13.28
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $16.50 / $51.98 / $97.40	Facility		$16.50	$51.98	$97.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $3.21 / $4.58 / $24.86	Professional		$3.21	$4.58	$24.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.59 / $6.81 / $18.05	Facility		$3.59	$6.81	$18.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.40 / $6.20 / $9.03	Professional		$3.40	$6.20	$9.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $4.22 / $5.18 / $8.28	Professional		$4.22	$5.18	$8.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $5.18 / $11.55	Professional		$4.13	$5.18	$11.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $62.64 / $62.64	Facility		$50.00	$62.64	$62.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $3.11 / $3.11	Professional		$3.11	$3.11	$3.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $6.22 / $17.07	Facility		$3.89	$6.22	$17.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.48 / $5.18 / $10.36	Professional		$3.48	$5.18	$10.36
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $18.18 / $18.18 / $18.18	Professional		$18.18	$18.18	$18.18
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $5.18 / $7.25	Professional		$4.13	$5.18	$7.25
United Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $3.11 / $9.94	Professional		$2.18	$3.11	$9.94