Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.47 / $78.54 / $282.00	Facility		$14.47	$78.54	$282.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.67 / $9.84 / $63.47	Professional		$7.67	$9.84	$63.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.75 / $6.19 / $6.19	Professional		$4.75	$6.19	$6.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.31 / $24.89 / $293.00	Facility		$11.31	$24.89	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $8.13 / $24.03	Professional		$5.09	$8.13	$24.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $26.73 / $71.50 / $134.11	Facility		$26.73	$71.50	$134.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $6.41 / $9.15 / $49.54	Professional		$6.41	$9.15	$49.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.16 / $13.55 / $34.56	Facility		$7.16	$13.55	$34.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.79 / $12.36 / $17.25	Professional		$6.79	$12.36	$17.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $10.32 / $16.51	Professional		$8.11	$10.32	$16.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $10.32 / $23.00	Professional		$8.26	$10.32	$23.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $62.50 / $100.00	Facility		$50.00	$62.50	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.19 / $6.19 / $6.19	Professional		$6.19	$6.19	$6.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.57 / $12.06 / $30.60	Facility		$8.57	$12.06	$30.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.79 / $10.32 / $20.64	Professional		$6.79	$10.32	$20.64
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $36.22 / $36.22	Professional		$36.22	$36.22	$36.22
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $10.32 / $14.45	Professional		$8.26	$10.32	$14.45
United Facility/Professional Professional Modifier Low / Median / High Price $4.33 / $6.19 / $19.82	Professional		$4.33	$6.19	$19.82