Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.61 / $45.94 / $81.92	Facility		$5.61	$45.94	$81.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.16 / $2.44 / $16.93	Professional		$2.16	$2.44	$16.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.27 / $1.88 / $2.70	Professional		$1.27	$1.88	$2.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.96 / $6.51 / $293.00	Facility		$2.96	$6.51	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $2.13 / $6.93	Professional		$1.62	$2.13	$6.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $6.58 / $24.01 / $50.22	Facility		$6.58	$24.01	$50.22
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1.67 / $2.39 / $12.96	Professional		$1.67	$2.39	$12.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.87 / $3.56 / $9.06	Facility		$1.87	$3.56	$9.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $3.19 / $4.51	Professional		$1.85	$3.19	$4.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.70 / $4.32	Professional		$2.40	$2.70	$4.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.16 / $2.70 / $5.94	Professional		$2.16	$2.70	$5.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16.82 / $60.00 / $60.00	Facility		$16.82	$60.00	$60.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2.43 / $3.38 / $4.98	Professional		$2.43	$3.38	$4.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $1.62 / $1.62	Professional		$1.62	$1.62	$1.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.23 / $3.23 / $9.02	Facility		$2.23	$3.23	$9.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.94 / $2.72 / $5.40	Professional		$1.94	$2.72	$5.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $9.47 / $9.47 / $9.47	Professional		$9.47	$9.47	$9.47
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2.16 / $2.70 / $3.78	Professional		$2.16	$2.70	$3.78
United Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.62 / $5.25	Professional		$1.12	$1.62	$5.25