Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.87 / $18.82 / $84.41	Facility		$3.87	$18.82	$84.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $3.31 / $6.88	Professional		$2.25	$3.31	$6.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $2.20 / $2.81	Professional		$1.23	$2.20	$2.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.01 / $8.85 / $293.00	Facility		$4.01	$8.85	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $2.89 / $10.44	Professional		$1.81	$2.89	$10.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $32.36 / $64.40	Facility		$8.91	$32.36	$64.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2.27 / $3.25 / $17.62	Professional		$2.27	$3.25	$17.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.41 / $4.78 / $12.31	Facility		$2.41	$4.78	$12.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $4.46 / $6.15	Professional		$2.54	$4.46	$6.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2.96 / $3.67 / $5.87	Professional		$2.96	$3.67	$5.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.94 / $3.67 / $8.00	Professional		$2.94	$3.67	$8.00
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 $3.30 / $4.59 / $6.96	Professional		$3.30	$4.59	$6.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.20 / $2.20 / $2.20	Professional		$2.20	$2.20	$2.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.05 / $4.40 / $12.31	Facility		$3.05	$4.40	$12.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $3.67 / $7.34	Professional		$2.54	$3.67	$7.34
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Professional		$12.88	$12.88	$12.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2.94 / $3.67 / $5.14	Professional		$2.94	$3.67	$5.14
United Facility/Professional Professional Modifier Low / Median / High Price $1.54 / $2.20 / $7.05	Professional		$1.54	$2.20	$7.05