Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.28 / $24.56 / $63.24	Facility		$12.28	$24.56	$63.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.27 / $12.41 / $27.95	Professional		$12.27	$12.41	$27.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.62 / $15.62 / $15.62	Professional		$15.62	$15.62	$15.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.97 / $19.61 / $44.13	Facility		$12.97	$19.61	$44.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.99 / $12.44 / $33.79	Professional		$11.99	$12.44	$33.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $26.52 / $31.20 / $49.41	Facility		$26.52	$31.20	$49.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $19.55 / $47.30	Professional		$18.62	$19.55	$47.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.59 / $11.59 / $12.28	Facility		$11.59	$11.59	$12.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $12.28 / $17.38	Professional		$12.28	$12.28	$17.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $14.20 / $17.13 / $23.12	Professional		$14.20	$17.13	$23.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $14.74 / $28.24	Professional		$11.05	$14.74	$28.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $110.12 / $110.12	Facility		$75.00	$110.12	$110.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $88.81 / $88.81 / $88.81	Professional		$88.81	$88.81	$88.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.13 / $35.11 / $60.00	Professional		$17.13	$35.11	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.28 / $13.02 / $21.81	Facility		$12.28	$13.02	$21.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $12.28 / $31.20	Professional		$12.28	$12.28	$31.20
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $38.46 / $38.46 / $38.46	Professional		$38.46	$38.46	$38.46
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $9.83 / $12.28 / $18.43	Professional		$9.83	$12.28	$18.43
United Facility/Professional Facility Modifier Low / Median / High Price $61.86 / $65.19 / $65.19	Facility		$61.86	$65.19	$65.19
United Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $12.28 / $23.80	Professional		$12.28	$12.28	$23.80