Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.41 / $14.07 / $16.55	Facility		$12.41	$14.07	$16.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $13.42 / $20.56	Professional		$9.00	$13.42	$20.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $12.92 / $21.29	Professional		$9.61	$12.92	$21.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.33 / $3.59 / $3.59	Facility		$3.33	$3.59	$3.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.18 / $9.75 / $19.75	Professional		$3.18	$9.75	$19.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $4.28 / $4.94 / $16.36	Professional		$4.28	$4.94	$16.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.90 / $13.00 / $23.28	Professional		$3.90	$13.00	$23.28
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3.88 / $13.59 / $19.71	Professional		$3.88	$13.59	$19.71
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $135.21 / $246.00	Professional		$70.00	$135.21	$246.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.69 / $22.56	Professional		$10.96	$13.69	$22.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $57.52 / $61.23 / $61.23	Facility		$57.52	$61.23	$61.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $80.88 / $91.77 / $117.60	Professional		$80.88	$91.77	$117.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.24 / $25.49 / $32.34	Professional		$21.24	$25.49	$32.34
Optum Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $13.44 / $19.23	Professional		$5.08	$13.44	$19.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.23 / $16.00 / $20.39	Facility		$12.23	$16.00	$20.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $13.32 / $23.18	Professional		$4.59	$13.32	$23.18
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5.86 / $14.16 / $19.91	Professional		$5.86	$14.16	$19.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $12.36 / $14.87 / $18.17	Professional		$12.36	$14.87	$18.17
United Facility/Professional Facility Modifier Low / Median / High Price $16.84 / $16.84 / $16.84	Facility		$16.84	$16.84	$16.84
United Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $14.23 / $32.88	Professional		$5.01	$14.23	$32.88