Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.85 / $32.76 / $84.42	Facility		$5.85	$32.76	$84.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $4.42 / $7.32	Professional		$2.59	$4.42	$7.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $3.39 / $4.38	Professional		$2.93	$3.39	$4.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.35 / $11.77 / $293.00	Facility		$5.35	$11.77	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $3.85 / $12.38	Professional		$2.41	$3.85	$12.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $12.34 / $43.37 / $85.31	Facility		$12.34	$43.37	$85.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $3.03 / $4.33 / $13.10	Professional		$3.03	$4.33	$13.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $6.40 / $16.32	Facility		$3.39	$6.40	$16.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.18 / $5.78 / $8.43	Professional		$3.18	$5.78	$8.43
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1.36 / $4.88 / $7.81	Professional		$1.36	$4.88	$7.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.90 / $4.88 / $10.74	Professional		$3.90	$4.88	$10.74
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 $4.38 / $6.10 / $9.46	Professional		$4.38	$6.10	$9.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $2.93 / $2.93	Professional		$2.93	$2.93	$2.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.05 / $5.69 / $13.88	Facility		$4.05	$5.69	$13.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.25 / $4.88 / $9.76	Professional		$3.25	$4.88	$9.76
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $17.12 / $17.12 / $17.12	Professional		$17.12	$17.12	$17.12
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $3.90 / $4.88 / $6.83	Professional		$3.90	$4.88	$6.83
United Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.93 / $9.44	Professional		$2.04	$2.93	$9.44