Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.00 / $77.03 / $111.01	Facility		$13.00	$77.03	$111.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.63 / $10.79 / $20.92	Professional		$8.63	$10.79	$20.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $7.19 / $8.33	Professional		$7.19	$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 / $22.15	Professional		$5.92	$7.32	$22.15
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 $7.85 / $14.29 / $20.12	Professional		$7.85	$14.29	$20.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $8.82 / $11.98 / $19.17	Professional		$8.82	$11.98	$19.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.58 / $11.98 / $26.36	Professional		$9.58	$11.98	$26.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $66.00 / $82.00	Facility		$50.00	$66.00	$82.00
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 / $13.18 / $31.88	Facility		$9.64	$13.18	$31.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $11.98 / $23.96	Professional		$7.85	$11.98	$23.96
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 $9.00 / $9.88 / $12.35	Professional		$9.00	$9.88	$12.35
United Facility/Professional Professional Modifier Low / Median / High Price $5.03 / $7.19 / $21.75	Professional		$5.03	$7.19	$21.75