Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.11 / $17.32 / $40.15	Facility		$3.11	$17.32	$40.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.68 / $4.07 / $15.77	Professional		$2.68	$4.07	$15.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.00 / $94.00 / $94.00	Professional		$94.00	$94.00	$94.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.81 / $8.39 / $293.00	Facility		$3.81	$8.39	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.13 / $6.37	Professional		$2.00	$2.13	$6.37
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $6.82 / $22.74 / $47.55	Facility		$6.82	$22.74	$47.55
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $2.25 / $16.70	Professional		$1.58	$2.25	$16.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.25 / $4.57 / $11.38	Facility		$2.25	$4.57	$11.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.94 / $4.13 / $5.16	Professional		$1.94	$4.13	$5.16
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2.15 / $3.48 / $5.57	Professional		$2.15	$3.48	$5.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.78 / $3.48 / $7.66	Professional		$2.78	$3.48	$7.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $60.00 / $100.00	Facility		$50.00	$60.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $6.06 / $21.25	Professional		$4.86	$6.06	$21.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.44 / $3.65 / $8.81	Facility		$2.44	$3.65	$8.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.97 / $3.33 / $5.36	Professional		$1.97	$3.33	$5.36
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $12.21 / $12.21 / $12.21	Professional		$12.21	$12.21	$12.21
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2.78 / $3.48 / $4.87	Professional		$2.78	$3.48	$4.87
United Facility/Professional Facility Modifier Low / Median / High Price $1.57 / $1.89 / $2.09	Facility		$1.57	$1.89	$2.09
United Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $2.20 / $5.87	Professional		$2.09	$2.20	$5.87