Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $34.92 / $66.16	Facility		$5.13	$34.92	$66.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $4.98 / $21.00	Professional		$3.44	$4.98	$21.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $1.75 / $2.00	Professional		$1.75	$1.75	$2.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.80 / $10.56 / $293.00	Facility		$4.80	$10.56	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $2.71 / $6.88	Professional		$2.45	$2.71	$6.88
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $8.67 / $28.69 / $58.75	Facility		$8.67	$28.69	$58.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.88 / $21.02	Professional		$2.02	$2.88	$21.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.85 / $5.76 / $14.68	Facility		$2.85	$5.76	$14.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $5.37 / $6.71	Professional		$2.50	$5.37	$6.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2.92 / $4.38 / $7.01	Professional		$2.92	$4.38	$7.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $4.38 / $9.64	Professional		$3.50	$4.38	$9.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $60.00 / $100.00	Facility		$50.00	$60.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.07 / $4.59 / $11.17	Facility		$3.07	$4.59	$11.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $4.38 / $6.97	Professional		$2.54	$4.38	$6.97
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $15.37 / $15.37 / $15.37	Professional		$15.37	$15.37	$15.37
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $4.38 / $6.13	Professional		$3.50	$4.38	$6.13
United Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $2.80 / $7.33	Professional		$2.63	$2.80	$7.33