Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.26 / $52.38 / $112.50	Facility		$8.26	$52.38	$112.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.45 / $5.21 / $8.26	Professional		$4.45	$5.21	$8.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.87 / $3.99 / $6.57	Professional		$2.87	$3.99	$6.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.29 / $13.84 / $293.00	Facility		$6.29	$13.84	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.84 / $4.53 / $12.01	Professional		$2.84	$4.53	$12.01
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $14.67 / $50.81 / $93.10	Facility		$14.67	$50.81	$93.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $3.56 / $5.09 / $11.50	Professional		$3.56	$5.09	$11.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.99 / $7.53 / $19.21	Facility		$3.99	$7.53	$19.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.25 / $7.02 / $9.82	Professional		$4.25	$7.02	$9.82
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.74 / $9.18	Professional		$5.01	$5.74	$9.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $5.75 / $12.63	Professional		$4.59	$5.75	$12.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $60.00 / $100.00	Facility		$50.00	$60.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $3.44 / $3.44	Professional		$3.44	$3.44	$3.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.76 / $6.64 / $15.13	Facility		$4.76	$6.64	$15.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.25 / $5.77 / $11.48	Professional		$4.25	$5.77	$11.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $20.14 / $20.14	Professional		$20.14	$20.14	$20.14
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $5.74 / $8.03	Professional		$4.59	$5.74	$8.03
United Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $3.42 / $11.12	Professional		$2.41	$3.42	$11.12