Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.53 / $87.75 / $170.43	Facility		$12.53	$87.75	$170.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.56 / $6.01 / $10.83	Professional		$5.56	$6.01	$10.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.05 / $3.98 / $16.39	Professional		$3.05	$3.98	$16.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.26 / $15.99 / $293.00	Facility		$7.26	$15.99	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.27 / $5.23 / $15.44	Professional		$3.27	$5.23	$15.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $16.89 / $55.00 / $97.40	Facility		$16.89	$55.00	$97.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $4.11 / $5.87 / $31.82	Professional		$4.11	$5.87	$31.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.59 / $8.71 / $22.20	Facility		$4.59	$8.71	$22.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $7.72 / $11.08	Professional		$4.30	$7.72	$11.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $5.68 / $6.63 / $10.61	Professional		$5.68	$6.63	$10.61
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $2.65 / $7.33 / $16.39	Professional		$2.65	$7.33	$16.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.30 / $6.63 / $14.59	Professional		$5.30	$6.63	$14.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $60.00 / $100.00	Facility		$50.00	$60.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5.97 / $8.28 / $12.43	Professional		$5.97	$8.28	$12.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $3.98	Professional		$3.98	$3.98	$3.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $7.67 / $17.07	Facility		$5.50	$7.67	$17.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $6.63 / $13.26	Professional		$4.30	$6.63	$13.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $23.27 / $23.27 / $23.27	Professional		$23.27	$23.27	$23.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $5.30 / $6.63 / $9.27	Professional		$5.30	$6.63	$9.27
United Facility/Professional Professional Modifier Low / Median / High Price $2.78 / $3.98 / $13.33	Professional		$2.78	$3.98	$13.33