Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.50 / $44.03 / $148.81	Facility		$13.50	$44.03	$148.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.38 / $13.96 / $27.92	Professional		$11.38	$13.96	$27.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.70 / $9.23 / $10.69	Professional		$7.70	$9.23	$10.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.86 / $37.11 / $293.00	Facility		$16.86	$37.11	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.60 / $12.12 / $35.79	Professional		$7.60	$12.12	$35.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $39.86 / $85.50 / $197.80	Facility		$39.86	$85.50	$197.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $13.62 / $73.87	Professional		$9.52	$13.62	$73.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.66 / $20.20 / $51.50	Facility		$10.66	$20.20	$51.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.97 / $18.59 / $27.11	Professional		$9.97	$18.59	$27.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $13.68 / $15.39 / $24.62	Professional		$13.68	$15.39	$24.62
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $16.75 / $16.75 / $16.75	Professional		$16.75	$16.75	$16.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.31 / $15.39 / $34.33	Professional		$12.31	$15.39	$34.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $87.97 / $111.86 / $111.86	Facility		$87.97	$111.86	$111.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.23 / $9.23 / $9.23	Professional		$9.23	$9.23	$9.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.77 / $18.47 / $43.97	Facility		$12.77	$18.47	$43.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $15.39 / $30.78	Professional		$10.19	$15.39	$30.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $54.01 / $54.01 / $54.01	Professional		$54.01	$54.01	$54.01
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $12.31 / $15.39 / $21.55	Professional		$12.31	$15.39	$21.55
United Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $9.15 / $29.75	Professional		$6.46	$9.15	$29.75