Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.94 / $14.94 / $93.76	Facility		$14.94	$14.94	$93.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.84 / $14.94 / $93.76	Professional		$11.84	$14.94	$93.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.99 / $25.99 / $25.99	Professional		$25.99	$25.99	$25.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.35 / $45.78 / $103.13	Facility		$11.35	$45.78	$103.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.45 / $15.47 / $23.12	Professional		$12.45	$15.47	$23.12
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $33.40 / $47.06 / $69.98	Facility		$33.40	$47.06	$69.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $68.05 / $100.42	Professional		$17.55	$68.05	$100.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.20 / $16.62 / $17.38	Facility		$15.20	$16.62	$17.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.13 / $12.13 / $17.73	Professional		$12.13	$12.13	$17.73
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $14.26 / $35.74	Professional		$11.88	$14.26	$35.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $22.74 / $50.36	Professional		$19.48	$22.74	$50.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $154.33 / $154.33	Facility		$85.00	$154.33	$154.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $157.21 / $157.21 / $229.05	Professional		$157.21	$157.21	$229.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.60 / $56.60 / $56.60	Professional		$56.60	$56.60	$56.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.01 / $27.62 / $32.49	Facility		$8.01	$27.62	$32.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.13 / $16.62 / $30.23	Professional		$12.13	$16.62	$30.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $61.33 / $61.33 / $61.33	Professional		$61.33	$61.33	$61.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $20.20 / $25.99	Professional		$11.88	$20.20	$25.99
United Facility/Professional Facility Modifier Low / Median / High Price $16.25 / $16.25 / $16.25	Facility		$16.25	$16.25	$16.25
United Facility/Professional Professional Modifier Low / Median / High Price $11.80 / $14.95 / $30.87	Professional		$11.80	$14.95	$30.87