Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.00 / $60.72 / $95.65	Facility		$9.00	$60.72	$95.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.34 / $5.66 / $35.54	Professional		$4.34	$5.66	$35.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $3.47 / $5.20	Professional		$2.72	$3.47	$5.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.33 / $13.94 / $293.00	Facility		$6.33	$13.94	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.86 / $4.55 / $14.87	Professional		$2.86	$4.55	$14.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $14.74 / $51.13 / $93.68	Facility		$14.74	$51.13	$93.68
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $3.58 / $5.12 / $27.74	Professional		$3.58	$5.12	$27.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.01 / $7.60 / $19.36	Facility		$4.01	$7.60	$19.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.82 / $7.02 / $10.24	Professional		$3.82	$7.02	$10.24
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $5.78 / $9.25	Professional		$5.08	$5.78	$9.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.62 / $5.78 / $12.72	Professional		$4.62	$5.78	$12.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $22.57 / $60.00 / $60.00	Facility		$22.57	$60.00	$60.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $8.19 / $11.52	Professional		$6.68	$8.19	$11.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.51 / $6.92 / $17.88	Facility		$4.51	$6.92	$17.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.94 / $5.78 / $11.56	Professional		$3.94	$5.78	$11.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $20.28 / $20.28 / $20.28	Professional		$20.28	$20.28	$20.28
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $4.62 / $5.78 / $8.09	Professional		$4.62	$5.78	$8.09
United Facility/Professional Facility Modifier Low / Median / High Price $2.43 / $5.78 / $5.78	Facility		$2.43	$5.78	$5.78
United Facility/Professional Professional Modifier Low / Median / High Price $2.43 / $3.47 / $11.19	Professional		$2.43	$3.47	$11.19