Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.02 / $52.62 / $121.67	Facility		$11.02	$52.62	$121.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.42 / $11.02 / $62.11	Professional		$6.42	$11.02	$62.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.44 / $4.44 / $4.44	Professional		$4.44	$4.44	$4.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.58 / $23.30 / $293.00	Facility		$10.58	$23.30	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.66 / $7.43 / $14.49	Professional		$4.66	$7.43	$14.49
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $25.02 / $69.00 / $122.57	Facility		$25.02	$69.00	$122.57
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $5.85 / $8.36 / $46.37	Professional		$5.85	$8.36	$46.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.54 / $12.69 / $32.34	Facility		$6.54	$12.69	$32.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.15 / $11.15 / $14.98	Professional		$6.15	$11.15	$14.98
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $5.22 / $9.66 / $15.46	Professional		$5.22	$9.66	$15.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7.73 / $9.66 / $21.06	Professional		$7.73	$9.66	$21.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $70.00 / $70.00	Facility		$45.00	$70.00	$70.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.83 / $4.83 / $4.83	Professional		$4.83	$4.83	$4.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.12 / $11.29 / $27.51	Facility		$5.12	$11.29	$27.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.49 / $9.66 / $14.17	Professional		$6.49	$9.66	$14.17
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $33.90 / $33.90 / $33.90	Professional		$33.90	$33.90	$33.90
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $5.32 / $7.73 / $8.86	Professional		$5.32	$7.73	$8.86
United Facility/Professional Professional Modifier Low / Median / High Price $4.05 / $5.61 / $18.77	Professional		$4.05	$5.61	$18.77