Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.94 / $19.16 / $63.75	Facility		$5.94	$19.16	$63.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.83 / $4.62 / $6.79	Professional		$3.83	$4.62	$6.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $3.06 / $3.06	Professional		$3.06	$3.06	$3.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.59 / $12.30 / $293.00	Facility		$5.59	$12.30	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $4.01 / $13.05	Professional		$2.52	$4.01	$13.05
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $12.83 / $45.15 / $89.51	Facility		$12.83	$45.15	$89.51
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $3.15 / $4.50 / $24.48	Professional		$3.15	$4.50	$24.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.53 / $6.71 / $17.10	Facility		$3.53	$6.71	$17.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.40 / $6.18 / $9.03	Professional		$3.40	$6.18	$9.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $4.53 / $5.09 / $8.16	Professional		$4.53	$5.09	$8.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.08 / $5.09 / $11.22	Professional		$4.08	$5.09	$11.22
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 $3.06 / $3.06 / $3.06	Professional		$3.06	$3.06	$3.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.22 / $6.07 / $16.18	Facility		$4.22	$6.07	$16.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.48 / $5.09 / $10.19	Professional		$3.48	$5.09	$10.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $17.89 / $17.89	Professional		$17.89	$17.89	$17.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $4.08 / $5.09 / $7.14	Professional		$4.08	$5.09	$7.14
United Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $3.06 / $10.25	Professional		$2.14	$3.06	$10.25