Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.52 / $70.50 / $198.00	Facility		$9.52	$70.50	$198.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $4.29 / $9.90	Professional		$3.57	$4.29	$9.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $3.07 / $4.28	Professional		$2.19	$3.07	$4.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.22 / $11.48 / $293.00	Facility		$5.22	$11.48	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.27 / $3.62 / $10.17	Professional		$2.27	$3.62	$10.17
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $11.59 / $40.77 / $80.19	Facility		$11.59	$40.77	$80.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2.85 / $4.07 / $9.18	Professional		$2.85	$4.07	$9.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.19 / $6.24 / $15.91	Facility		$3.19	$6.24	$15.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.25 / $5.78 / $7.80	Professional		$3.25	$5.78	$7.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $4.76 / $7.62	Professional		$3.44	$4.76	$7.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.81 / $4.76 / $10.62	Professional		$3.81	$4.76	$10.62
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 $5.50 / $6.63 / $9.60	Professional		$5.50	$6.63	$9.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.85 / $2.85 / $2.85	Professional		$2.85	$2.85	$2.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.82 / $5.50 / $13.64	Facility		$3.82	$5.50	$13.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.40 / $4.87 / $9.52	Professional		$3.40	$4.87	$9.52
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $16.70 / $16.70 / $16.70	Professional		$16.70	$16.70	$16.70
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $3.81 / $4.76 / $6.66	Professional		$3.81	$4.76	$6.66
United Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.73 / $8.88	Professional		$2.00	$2.73	$8.88