Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.94 / $77.38 / $167.45	Facility		$12.94	$77.38	$167.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.86 / $5.77 / $10.97	Professional		$3.86	$5.77	$10.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.98 / $3.88 / $6.47	Professional		$2.98	$3.88	$6.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.09 / $15.61 / $293.00	Facility		$7.09	$15.61	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $5.09 / $15.11	Professional		$3.20	$5.09	$15.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $16.52 / $54.60 / $97.40	Facility		$16.52	$54.60	$97.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $5.73 / $31.06	Professional		$4.01	$5.73	$31.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.49 / $8.50 / $21.68	Facility		$4.49	$8.50	$21.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.24 / $7.72 / $10.67	Professional		$4.24	$7.72	$10.67
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $5.72 / $6.47 / $10.35	Professional		$5.72	$6.47	$10.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.18 / $6.48 / $14.23	Professional		$5.18	$6.48	$14.23
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 $5.82 / $8.84 / $34.65	Professional		$5.82	$8.84	$34.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.88 / $3.88 / $3.88	Professional		$3.88	$3.88	$3.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $7.75 / $19.20	Facility		$5.37	$7.75	$19.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.24 / $6.47 / $12.94	Professional		$4.24	$6.47	$12.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $22.70 / $22.70 / $22.70	Professional		$22.70	$22.70	$22.70
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $5.18 / $6.47 / $9.06	Professional		$5.18	$6.47	$9.06
United Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $1.95 / $1.95	Facility		$1.95	$1.95	$1.95
United Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $3.80 / $11.31	Professional		$2.72	$3.80	$11.31