Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $21.44 / $64.73	Facility		$4.68	$21.44	$64.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.66 / $4.80 / $9.41	Professional		$3.66	$4.80	$9.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.30 / $3.30 / $3.30	Professional		$3.30	$3.30	$3.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $13.27 / $293.00	Facility		$6.03	$13.27	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $4.33 / $12.77	Professional		$2.72	$4.33	$12.77
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $14.02 / $48.83 / $92.60	Facility		$14.02	$48.83	$92.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $3.41 / $4.87 / $26.40	Professional		$3.41	$4.87	$26.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.81 / $7.23 / $18.44	Facility		$3.81	$7.23	$18.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.61 / $6.61 / $9.64	Professional		$3.61	$6.61	$9.64
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $5.50 / $8.80	Professional		$4.69	$5.50	$8.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.40 / $5.50 / $12.10	Professional		$4.40	$5.50	$12.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.91 / $69.81 / $69.81	Facility		$54.91	$69.81	$69.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.30 / $3.30 / $3.30	Professional		$3.30	$3.30	$3.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.55 / $6.37 / $14.32	Facility		$4.55	$6.37	$14.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.71 / $5.50 / $11.00	Professional		$3.71	$5.50	$11.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $19.30 / $19.30	Professional		$19.30	$19.30	$19.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $4.40 / $5.50 / $7.70	Professional		$4.40	$5.50	$7.70
United Facility/Professional Facility Modifier Low / Median / High Price $2.48 / $3.77 / $4.05	Facility		$2.48	$3.77	$4.05
United Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $3.27 / $10.57	Professional		$2.31	$3.27	$10.57