Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.90 / $29.52 / $68.78	Facility		$6.90	$29.52	$68.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $5.91 / $7.82	Professional		$4.63	$5.91	$7.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.92 / $3.92 / $3.92	Professional		$3.92	$3.92	$3.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.15 / $15.75 / $293.00	Facility		$7.15	$15.75	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $5.15 / $16.79	Professional		$3.22	$5.15	$16.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $16.67 / $54.60 / $97.40	Facility		$16.67	$54.60	$97.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $4.05 / $5.79 / $31.34	Professional		$4.05	$5.79	$31.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.53 / $8.56 / $21.84	Facility		$4.53	$8.56	$21.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.24 / $7.85 / $11.44	Professional		$4.24	$7.85	$11.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $5.81 / $6.53 / $10.45	Professional		$5.81	$6.53	$10.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.22 / $6.53 / $14.57	Professional		$5.22	$6.53	$14.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $77.63 / $111.00 / $112.00	Facility		$77.63	$111.00	$112.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.92 / $3.92 / $3.92	Professional		$3.92	$3.92	$3.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.42 / $7.84 / $22.00	Facility		$5.42	$7.84	$22.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.41 / $6.53 / $13.06	Professional		$4.41	$6.53	$13.06
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $22.92 / $22.92 / $22.92	Professional		$22.92	$22.92	$22.92
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $5.22 / $6.53 / $9.14	Professional		$5.22	$6.53	$9.14
United Facility/Professional Professional Modifier Low / Median / High Price $2.74 / $3.89 / $12.54	Professional		$2.74	$3.89	$12.54