Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.11 / $77.03 / $123.75	Facility		$11.11	$77.03	$123.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.99 / $10.70 / $30.15	Professional		$8.99	$10.70	$30.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $7.19 / $8.33	Professional		$5.99	$7.19	$8.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.13 / $28.90 / $293.00	Facility		$13.13	$28.90	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $7.32 / $22.94	Professional		$5.92	$7.32	$22.94
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $69.00 / $120.71	Facility		$25.70	$69.00	$120.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $8.22 / $57.50	Professional		$5.75	$8.22	$57.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.30 / $15.74 / $40.11	Facility		$8.30	$15.74	$40.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.79 / $14.29 / $18.48	Professional		$7.79	$14.29	$18.48
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $11.98 / $19.17	Professional		$8.27	$11.98	$19.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.58 / $11.98 / $26.72	Professional		$9.58	$11.98	$26.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $60.00 / $80.00	Facility		$60.00	$60.00	$80.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $7.19 / $7.19	Professional		$7.19	$7.19	$7.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.64 / $12.15 / $29.76	Facility		$9.64	$12.15	$29.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $11.98 / $18.48	Professional		$7.85	$11.98	$18.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $42.04 / $42.04 / $42.04	Professional		$42.04	$42.04	$42.04
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $9.58 / $11.98	Professional		$8.44	$9.58	$11.98
United Facility/Professional Professional Modifier Low / Median / High Price $5.03 / $7.19 / $23.01	Professional		$5.03	$7.19	$23.01