Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.60 / $162.75 / $406.45	Facility		$20.60	$162.75	$406.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $7.82 / $17.23	Professional		$6.72	$7.82	$17.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.97 / $5.17 / $5.98	Professional		$3.97	$5.17	$5.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.44 / $20.79 / $293.00	Facility		$9.44	$20.79	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $6.79 / $20.05	Professional		$4.26	$6.79	$20.05
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $22.33 / $67.13 / $113.20	Facility		$22.33	$67.13	$113.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $5.34 / $7.63 / $41.38	Professional		$5.34	$7.63	$41.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.97 / $11.31 / $29.99	Facility		$5.97	$11.31	$29.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $10.33 / $14.37	Professional		$5.73	$10.33	$14.37
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $7.51 / $8.61 / $13.79	Professional		$7.51	$8.61	$13.79
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $9.52 / $9.52	Professional		$9.52	$9.52	$9.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.90 / $8.61 / $18.96	Professional		$6.90	$8.61	$18.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $62.68 / $100.00	Facility		$50.00	$62.68	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $12.18 / $16.42	Professional		$10.02	$12.18	$16.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.17 / $5.17 / $5.17	Professional		$5.17	$5.17	$5.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.16 / $10.34 / $24.61	Facility		$7.16	$10.34	$24.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $8.61 / $17.23	Professional		$5.73	$8.61	$17.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $30.25 / $30.25 / $30.25	Professional		$30.25	$30.25	$30.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $6.90 / $8.61 / $12.07	Professional		$6.90	$8.61	$12.07
United Facility/Professional Facility Modifier Low / Median / High Price $3.88 / $5.92 / $6.36	Facility		$3.88	$5.92	$6.36
United Facility/Professional Professional Modifier Low / Median / High Price $3.62 / $5.12 / $16.73	Professional		$3.62	$5.12	$16.73