Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.86 / $37.94 / $94.27	Facility		$8.86	$37.94	$94.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $7.62 / $22.15	Professional		$4.57	$7.62	$22.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.05 / $5.05	Professional		$5.05	$5.05	$5.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.21 / $20.28 / $293.00	Facility		$9.21	$20.28	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.15 / $6.62 / $19.48	Professional		$4.15	$6.62	$19.48
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $21.78 / $65.39 / $110.47	Facility		$21.78	$65.39	$110.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $5.21 / $7.44 / $40.36	Professional		$5.21	$7.44	$40.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.82 / $11.05 / $28.17	Facility		$5.82	$11.05	$28.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.52 / $10.21 / $15.06	Professional		$5.52	$10.21	$15.06
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $7.47 / $8.41 / $13.46	Professional		$7.47	$8.41	$13.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $8.41 / $18.32	Professional		$6.73	$8.41	$18.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $70.00 / $100.00	Facility		$55.00	$70.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.04 / $5.04 / $5.04	Professional		$5.04	$5.04	$5.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.97 / $10.09 / $24.00	Facility		$6.97	$10.09	$24.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.56 / $8.41 / $16.82	Professional		$5.56	$8.41	$16.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $8.41 / $11.77	Professional		$6.73	$8.41	$11.77
United Facility/Professional Professional Modifier Low / Median / High Price $3.53 / $5.05 / $16.23	Professional		$3.53	$5.05	$16.23