Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $53.70 / $245.47	Facility		$14.13	$53.70	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.96 / $15.14	Professional		$7.94	$10.96	$15.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Professional		$26.92	$26.92	$26.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $95.50 / $239.88	Facility		$77.62	$95.50	$239.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $57.54 / $190,546.07	Professional		$18.20	$57.54	$190,546.07
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $15.49 / $32.36	Professional		$11.75	$15.49	$32.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $12.59 / $30.20	Professional		$8.71	$12.59	$30.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $14.13 / $21.38	Professional		$11.48	$14.13	$21.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $630.96 / $1,698.24	Professional		$144.54	$630.96	$1,698.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $100.00 / $100.00	Facility		$89.13	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $117.49 / $117.49	Professional		$85.11	$117.49	$117.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $15.85 / $70.79	Professional		$14.79	$15.85	$70.79
Optum Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $30.90 / $39.81	Professional		$3.98	$30.90	$39.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $14.13 / $22.91	Facility		$8.91	$14.13	$22.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $14.45 / $38.02	Professional		$8.71	$14.45	$38.02
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $3.98	Professional		$3.98	$3.98	$3.98
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $26.92 / $38.90	Professional		$16.22	$26.92	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $30.90 / $75.86	Professional		$11.48	$30.90	$75.86