Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.08 / $56.25 / $112.50	Facility		$6.08	$56.25	$112.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.07 / $3.34 / $8.36	Professional		$3.07	$3.34	$8.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.96 / $2.20 / $3.67	Professional		$1.96	$2.20	$3.67
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 / $8.76	Professional		$1.81	$2.89	$8.76
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 $2.54 / $4.83 / $12.31	Facility		$2.54	$4.83	$12.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $4.25 / $5.75	Professional		$2.37	$4.25	$5.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3.26 / $3.67 / $5.87	Professional		$3.26	$3.67	$5.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.94 / $3.67 / $8.19	Professional		$2.94	$3.67	$8.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $60.00 / $80.00	Facility		$60.00	$60.00	$80.00
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 / $4.38 / $12.31	Facility		$3.05	$4.38	$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 / $3.33 / $4.55	Professional		$2.94	$3.33	$4.55
United Facility/Professional Professional Modifier Low / Median / High Price $1.54 / $2.18 / $7.29	Professional		$1.54	$2.18	$7.29