Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.16 / $19.17 / $44.27	Facility		$4.16	$19.17	$44.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $3.94 / $7.16	Professional		$2.93	$3.94	$7.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.36 / $2.36 / $2.36	Professional		$2.36	$2.36	$2.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.32 / $9.50 / $293.00	Facility		$4.32	$9.50	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $3.10 / $10.11	Professional		$1.95	$3.10	$10.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $9.58 / $34.82 / $67.88	Facility		$9.58	$34.82	$67.88
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2.44 / $3.49 / $18.91	Professional		$2.44	$3.49	$18.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.72 / $5.17 / $13.18	Facility		$2.72	$5.17	$13.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $4.78 / $6.57	Professional		$2.54	$4.78	$6.57
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3.51 / $3.94 / $6.30	Professional		$3.51	$3.94	$6.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.15 / $3.94 / $8.93	Professional		$3.15	$3.94	$8.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $19.91 / $60.00 / $60.00	Facility		$19.91	$60.00	$60.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.97 / $1.97 / $1.97	Professional		$1.97	$1.97	$1.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.27 / $4.73 / $11.26	Facility		$3.27	$4.73	$11.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.90 / $4.30 / $7.88	Professional		$2.90	$4.30	$7.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $13.82 / $13.82	Professional		$13.82	$13.82	$13.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $3.15 / $3.94 / $5.52	Professional		$3.15	$3.94	$5.52
United Facility/Professional Professional Modifier Low / Median / High Price $1.65 / $2.34 / $7.57	Professional		$1.65	$2.34	$7.57