Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.87 / $34.00 / $76.55	Facility		$5.87	$34.00	$76.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $4.55 / $8.74	Professional		$4.26	$4.55	$8.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $2.88 / $2.88	Professional		$2.88	$2.88	$2.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.30 / $13.87 / $293.00	Facility		$6.30	$13.87	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.48 / $3.96 / $11.78	Professional		$2.48	$3.96	$11.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $13.00 / $44.79 / $89.10	Facility		$13.00	$44.79	$89.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $3.12 / $4.45 / $27.60	Professional		$3.12	$4.45	$27.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.74 / $7.55 / $18.82	Facility		$3.74	$7.55	$18.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.40 / $6.61 / $10.24	Professional		$3.40	$6.61	$10.24
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $4.38 / $5.75 / $9.19	Professional		$4.38	$5.75	$9.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $5.75 / $13.03	Professional		$4.59	$5.75	$13.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $60.00 / $100.00	Facility		$50.00	$60.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $3.45 / $3.45	Professional		$3.45	$3.45	$3.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.30 / $6.43 / $16.57	Facility		$4.30	$6.43	$16.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.69 / $5.75 / $10.73	Professional		$3.69	$5.75	$10.73
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $20.18 / $20.18 / $20.18	Professional		$20.18	$20.18	$20.18
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $5.75 / $8.05	Professional		$4.59	$5.75	$8.05
United Facility/Professional Professional Modifier Low / Median / High Price $2.42 / $3.02 / $9.72	Professional		$2.42	$3.02	$9.72