Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.55 / $31.95 / $97.25	Facility		$6.55	$31.95	$97.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $3.58 / $6.74	Professional		$2.37	$3.58	$6.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $2.37 / $2.74	Professional		$1.82	$2.37	$2.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.33 / $9.52 / $293.00	Facility		$4.33	$9.52	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $3.11 / $10.11	Professional		$1.95	$3.11	$10.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $9.60 / $34.82 / $67.88	Facility		$9.60	$34.82	$67.88
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $3.50 / $18.96	Professional		$2.45	$3.50	$18.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.72 / $5.19 / $13.24	Facility		$2.72	$5.19	$13.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $4.96 / $7.02	Professional		$2.93	$4.96	$7.02
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3.15 / $3.95 / $6.32	Professional		$3.15	$3.95	$6.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $3.96 / $8.81	Professional		$3.16	$3.96	$8.81
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 $3.56 / $4.94 / $7.46	Professional		$3.56	$4.94	$7.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $2.37 / $2.37	Professional		$2.37	$2.37	$2.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.28 / $4.74 / $13.05	Facility		$3.28	$4.74	$13.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $4.36 / $7.90	Professional		$2.95	$4.36	$7.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $13.86 / $13.86 / $13.86	Professional		$13.86	$13.86	$13.86
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $3.95 / $5.53	Professional		$3.16	$3.95	$5.53
United Facility/Professional Professional Modifier Low / Median / High Price $1.66 / $2.35 / $7.17	Professional		$1.66	$2.35	$7.17