Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $25.21 / $43.50	Facility		$4.68	$25.21	$43.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $3.72 / $15.05	Professional		$3.31	$3.72	$15.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.80 / $1.96 / $2.73	Professional		$1.80	$1.96	$2.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.30 / $9.46 / $293.00	Facility		$4.30	$9.46	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.94 / $3.09 / $9.13	Professional		$1.94	$3.09	$9.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $9.52 / $34.63 / $67.51	Facility		$9.52	$34.63	$67.51
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2.43 / $3.47 / $7.66	Professional		$2.43	$3.47	$7.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.71 / $5.15 / $13.13	Facility		$2.71	$5.15	$13.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.90 / $4.96 / $7.23	Professional		$2.90	$4.96	$7.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3.46 / $3.92 / $6.27	Professional		$3.46	$3.92	$6.27
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $20.55	Professional		$15.85	$15.85	$20.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.14 / $3.92 / $8.55	Professional		$3.14	$3.92	$8.55
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 $5.30 / $6.60 / $23.15	Professional		$5.30	$6.60	$23.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.35 / $2.35 / $2.35	Professional		$2.35	$2.35	$2.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.23 / $4.55 / $11.21	Facility		$3.23	$4.55	$11.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.90 / $4.08 / $7.84	Professional		$2.90	$4.08	$7.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $13.75 / $13.75 / $13.75	Professional		$13.75	$13.75	$13.75
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $3.14 / $3.92 / $5.49	Professional		$3.14	$3.92	$5.49
United Facility/Professional Facility Modifier Low / Median / High Price $1.76 / $2.35 / $2.89	Facility		$1.76	$2.35	$2.89
United Facility/Professional Professional Modifier Low / Median / High Price $2.35 / $3.29 / $7.57	Professional		$2.35	$3.29	$7.57