Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.49 / $40.74 / $101.82	Facility		$6.49	$40.74	$101.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.91 / $3.80 / $20.00	Professional		$2.91	$3.80	$20.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.63 / $1.63 / $1.63	Professional		$1.63	$1.63	$1.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.16 / $9.17 / $293.00	Facility		$4.16	$9.17	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $2.71 / $8.03	Professional		$1.70	$2.71	$8.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $8.59 / $30.54 / $60.56	Facility		$8.59	$30.54	$60.56
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2.13 / $3.04 / $18.23	Professional		$2.13	$3.04	$18.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.47 / $4.99 / $12.61	Facility		$2.47	$4.99	$12.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $4.54 / $5.75	Professional		$2.52	$4.54	$5.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2.71 / $3.80 / $6.08	Professional		$2.71	$3.80	$6.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.04 / $3.80 / $8.36	Professional		$3.04	$3.80	$8.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $60.00 / $100.00	Facility		$50.00	$60.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.85 / $4.33 / $10.17	Facility		$2.85	$4.33	$10.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $3.80 / $7.51	Professional		$2.54	$3.80	$7.51
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $13.33 / $13.33	Professional		$13.33	$13.33	$13.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $3.04 / $3.80 / $5.32	Professional		$3.04	$3.80	$5.32
United Facility/Professional Professional Modifier Low / Median / High Price $1.60 / $2.06 / $6.91	Professional		$1.60	$2.06	$6.91