Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.02 / $14.02 / $89.80	Facility		$14.02	$14.02	$89.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.93 / $14.02 / $89.80	Professional		$10.93	$14.02	$89.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.89 / $21.78 / $24.90	Professional		$18.89	$21.78	$24.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.65 / $43.85 / $98.78	Facility		$10.65	$43.85	$98.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $17.98 / $25.01	Professional		$12.28	$17.98	$25.01
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $31.99 / $45.06 / $67.03	Facility		$31.99	$45.06	$67.03
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $65.19 / $100.00	Professional		$16.82	$65.19	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.56 / $16.29 / $16.64	Facility		$14.56	$16.29	$16.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $11.89 / $29.25	Professional		$11.89	$11.89	$29.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $11.79 / $14.15 / $34.22	Professional		$11.79	$14.15	$34.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.67 / $21.78 / $48.24	Professional		$18.67	$21.78	$48.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $147.82 / $147.82	Facility		$85.00	$147.82	$147.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $149.38 / $149.38 / $202.95	Professional		$149.38	$149.38	$202.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.94 / $74.94 / $74.94	Professional		$74.94	$74.94	$74.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.52 / $25.39 / $31.12	Facility		$7.52	$25.39	$31.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $11.89 / $26.45	Professional		$11.89	$11.89	$26.45
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $58.74 / $58.74 / $58.74	Professional		$58.74	$58.74	$58.74
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $11.79 / $20.04 / $24.90	Professional		$11.79	$20.04	$24.90
United Facility/Professional Facility Modifier Low / Median / High Price $26.45 / $31.12 / $31.12	Facility		$26.45	$31.12	$31.12
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.03 / $31.14	Professional		$10.96	$14.03	$31.14