Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.60 / $46.14 / $108.75	Facility		$6.60	$46.14	$108.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.36 / $4.72 / $27.55	Professional		$3.36	$4.72	$27.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $3.11 / $5.13	Professional		$2.69	$3.11	$5.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.91 / $10.81 / $293.00	Facility		$4.91	$10.81	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.21 / $3.52 / $10.42	Professional		$2.21	$3.52	$10.42
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $11.27 / $39.81 / $78.06	Facility		$11.27	$39.81	$78.06
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2.78 / $3.97 / $21.50	Professional		$2.78	$3.97	$21.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.10 / $5.88 / $14.99	Facility		$3.10	$5.88	$14.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.97 / $5.37 / $7.83	Professional		$2.97	$5.37	$7.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3.77 / $4.48 / $7.17	Professional		$3.77	$4.48	$7.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.58 / $4.48 / $9.99	Professional		$3.58	$4.48	$9.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $70.00 / $80.00	Facility		$70.00	$70.00	$80.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.71 / $5.38 / $13.56	Facility		$3.71	$5.38	$13.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.01 / $4.48 / $8.96	Professional		$3.01	$4.48	$8.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $15.72 / $15.72 / $15.72	Professional		$15.72	$15.72	$15.72
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $3.58 / $4.03 / $5.28	Professional		$3.58	$4.03	$5.28
United Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $2.69 / $8.64	Professional		$1.88	$2.69	$8.64