Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.83 / $31.94 / $66.83	Facility		$6.83	$31.94	$66.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $5.77 / $7.74	Professional		$4.84	$5.77	$7.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.88 / $3.88 / $4.49	Professional		$3.88	$3.88	$4.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.09 / $15.61 / $293.00	Facility		$7.09	$15.61	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.19 / $5.09 / $13.71	Professional		$3.19	$5.09	$13.71
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $16.51 / $54.60 / $97.40	Facility		$16.51	$54.60	$97.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $5.73 / $31.06	Professional		$4.01	$5.73	$31.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.49 / $8.50 / $21.68	Facility		$4.49	$8.50	$21.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $7.85 / $11.44	Professional		$4.79	$7.85	$11.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $5.17 / $6.47 / $10.35	Professional		$5.17	$6.47	$10.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.18 / $6.47 / $14.10	Professional		$5.18	$6.47	$14.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $70.00 / $80.00	Facility		$70.00	$70.00	$80.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.88 / $3.88 / $3.88	Professional		$3.88	$3.88	$3.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $7.49 / $18.57	Facility		$5.37	$7.49	$18.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $7.05 / $12.94	Professional		$4.79	$7.05	$12.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $22.70 / $22.70 / $22.70	Professional		$22.70	$22.70	$22.70
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $5.18 / $5.79 / $7.24	Professional		$5.18	$5.79	$7.24
United Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $3.85 / $12.43	Professional		$2.72	$3.85	$12.43