Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.10 / $28.02 / $69.00	Facility		$3.10	$28.02	$69.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $2.83 / $14.58	Professional		$2.06	$2.83	$14.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.19 / $1.42 / $2.71	Professional		$1.19	$1.42	$2.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.60 / $5.72 / $293.00	Facility		$2.60	$5.72	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.42 / $1.91 / $5.53	Professional		$1.42	$1.91	$5.53
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $21.02 / $44.09	Facility		$5.75	$21.02	$44.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1.47 / $2.10 / $4.62	Professional		$1.47	$2.10	$4.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.63 / $3.11 / $7.93	Facility		$1.63	$3.11	$7.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $2.89 / $4.22	Professional		$1.74	$2.89	$4.22
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $2.37 / $3.79	Professional		$2.06	$2.37	$3.79
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $22.49 / $22.49 / $22.49	Professional		$22.49	$22.49	$22.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.90 / $2.37 / $5.37	Professional		$1.90	$2.37	$5.37
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 $2.59 / $3.30 / $4.48	Professional		$2.59	$3.30	$4.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.96 / $2.84 / $6.88	Facility		$1.96	$2.84	$6.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.76 / $2.61 / $4.74	Professional		$1.76	$2.61	$4.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $8.31 / $8.31 / $8.31	Professional		$8.31	$8.31	$8.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1.90 / $2.37 / $3.32	Professional		$1.90	$2.37	$3.32
United Facility/Professional Professional Modifier Low / Median / High Price $1.42 / $2.00 / $4.75	Professional		$1.42	$2.00	$4.75