Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.02 / $89.46 / $251.29	Facility		$13.02	$89.46	$251.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.46 / $5.89 / $9.76	Professional		$5.46	$5.89	$9.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.99 / $3.91 / $5.86	Professional		$2.99	$3.91	$5.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.13 / $15.70 / $293.00	Facility		$7.13	$15.70	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $5.13 / $13.48	Professional		$3.22	$5.13	$13.48
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $16.61 / $54.60 / $97.40	Facility		$16.61	$54.60	$97.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $4.04 / $5.77 / $12.75	Professional		$4.04	$5.77	$12.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.51 / $8.53 / $21.78	Facility		$4.51	$8.53	$21.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.41 / $7.85 / $10.67	Professional		$4.41	$7.85	$10.67
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $5.79 / $6.51 / $10.42	Professional		$5.79	$6.51	$10.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.21 / $6.51 / $14.32	Professional		$5.21	$6.51	$14.32
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 $5.86 / $7.78 / $12.43	Professional		$5.86	$7.78	$12.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.90 / $3.90 / $3.90	Professional		$3.90	$3.90	$3.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.39 / $7.79 / $19.13	Facility		$5.39	$7.79	$19.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $6.93 / $13.02	Professional		$4.79	$6.93	$13.02
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $22.85 / $22.85 / $22.85	Professional		$22.85	$22.85	$22.85
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $5.21 / $6.51 / $9.11	Professional		$5.21	$6.51	$9.11
United Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $3.91 / $14.68	Professional		$2.73	$3.91	$14.68