Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.28 / $18.89 / $52.70	Facility		$4.28	$18.89	$52.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.12 / $3.25 / $5.37	Professional		$3.12	$3.25	$5.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.79 / $2.15 / $2.15	Professional		$1.79	$2.15	$2.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.92 / $8.63 / $293.00	Facility		$3.92	$8.63	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.77 / $2.82 / $8.88	Professional		$1.77	$2.82	$8.88
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $31.60 / $62.95	Facility		$8.71	$31.60	$62.95
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2.22 / $3.17 / $17.18	Professional		$2.22	$3.17	$17.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.49 / $4.71 / $12.00	Facility		$2.49	$4.71	$12.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $4.25 / $6.15	Professional		$2.31	$4.25	$6.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3.18 / $3.58 / $5.73	Professional		$3.18	$3.58	$5.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.86 / $3.58 / $7.80	Professional		$2.86	$3.58	$7.80
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 $2.15 / $2.15 / $2.15	Professional		$2.15	$2.15	$2.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.97 / $4.28 / $10.74	Facility		$2.97	$4.28	$10.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.33 / $3.58 / $7.16	Professional		$2.33	$3.58	$7.16
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $12.56 / $12.56 / $12.56	Professional		$12.56	$12.56	$12.56
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2.86 / $3.58 / $5.01	Professional		$2.86	$3.58	$5.01
United Facility/Professional Facility Modifier Low / Median / High Price $1.61 / $2.45 / $2.64	Facility		$1.61	$2.45	$2.64
United Facility/Professional Professional Modifier Low / Median / High Price $2.15 / $3.00 / $6.25	Professional		$2.15	$3.00	$6.25