Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $51.00 / $111.75	Facility		$5.89	$51.00	$111.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $4.25 / $6.40	Professional		$2.82	$4.25	$6.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.96 / $2.56 / $3.84	Professional		$1.96	$2.56	$3.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $10.30 / $293.00	Facility		$4.68	$10.30	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $2.79 / $8.75	Professional		$1.75	$2.79	$8.75
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $9.47 / $32.29 / $62.20	Facility		$9.47	$32.29	$62.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2.20 / $3.14 / $20.50	Professional		$2.20	$3.14	$20.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.78 / $5.62 / $14.32	Facility		$2.78	$5.62	$14.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.58 / $4.96 / $6.71	Professional		$2.58	$4.96	$6.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $4.26 / $6.83	Professional		$2.37	$4.26	$6.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.42 / $4.26 / $9.31	Professional		$3.42	$4.26	$9.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $60.00 / $100.00	Facility		$50.00	$60.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $2.56 / $2.56	Professional		$2.56	$2.56	$2.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.11 / $4.70 / $11.51	Facility		$3.11	$4.70	$11.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $4.40 / $7.51	Professional		$2.63	$4.40	$7.51
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $14.98 / $14.98 / $14.98	Professional		$14.98	$14.98	$14.98
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $3.42 / $4.26 / $5.98	Professional		$3.42	$4.26	$5.98
United Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $3.01 / $7.14	Professional		$2.56	$3.01	$7.14