Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.23 / $13.91 / $279.57	Facility		$7.23	$13.91	$279.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.55 / $17.17 / $43.48	Professional		$10.55	$17.17	$43.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.18 / $12.80 / $60.00	Professional		$8.18	$12.80	$60.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.17 / $12.24 / $32.36	Facility		$10.17	$12.24	$32.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Professional		$14.13	$14.13	$14.13
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $31.83 / $44.73 / $65.65	Professional		$31.83	$44.73	$65.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.37 / $21.12 / $21.41	Facility		$15.37	$21.12	$21.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.42 / $15.42 / $21.12	Professional		$15.42	$15.42	$21.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $76.53 / $76.53 / $91.84	Professional		$76.53	$76.53	$91.84
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $32.50 / $32.50 / $32.50	Professional		$32.50	$32.50	$32.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $31.00 / $393.93	Professional		$20.00	$31.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $90.00 / $90.00	Facility		$75.00	$90.00	$90.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $86.59 / $90.05 / $104.63	Professional		$86.59	$90.05	$104.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.11 / $15.37 / $22.35	Facility		$6.11	$15.37	$22.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.42 / $15.42 / $21.12	Professional		$15.42	$15.42	$21.12
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $76.53 / $76.53 / $114.80	Professional		$76.53	$76.53	$114.80
United Facility/Professional Facility Modifier Low / Median / High Price $5.32 / $8.00 / $9.61	Facility		$5.32	$8.00	$9.61
United Facility/Professional Professional Modifier Low / Median / High Price $7.39 / $8.01 / $16.14	Professional		$7.39	$8.01	$16.14