Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.13 / $40.68 / $97.89	Facility		$6.13	$40.68	$97.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.37 / $4.67 / $9.38	Professional		$3.37	$4.67	$9.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $3.45 / $4.66	Professional		$2.59	$3.45	$4.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.68 / $12.49 / $293.00	Facility		$5.68	$12.49	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $4.08 / $10.80	Professional		$2.56	$4.08	$10.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $13.05 / $45.69 / $91.03	Facility		$13.05	$45.69	$91.03
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $3.21 / $4.58 / $24.86	Professional		$3.21	$4.58	$24.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.59 / $6.81 / $17.36	Facility		$3.59	$6.81	$17.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.40 / $6.20 / $9.03	Professional		$3.40	$6.20	$9.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $5.18 / $8.28	Professional		$4.13	$5.18	$8.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $5.18 / $11.74	Professional		$4.13	$5.18	$11.74
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 $4.66 / $6.23 / $9.94	Professional		$4.66	$6.23	$9.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $3.11 / $3.11	Professional		$3.11	$3.11	$3.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.29 / $6.19 / $15.00	Facility		$4.29	$6.19	$15.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.48 / $5.18 / $10.36	Professional		$3.48	$5.18	$10.36
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $18.18 / $18.18 / $18.18	Professional		$18.18	$18.18	$18.18
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $5.18 / $7.25	Professional		$4.13	$5.18	$7.25
United Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $3.11 / $10.40	Professional		$2.18	$3.11	$10.40