Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $30.20 / $70.79	Facility		$7.24	$30.20	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.01 / $36.31	Professional		$3.98	$5.01	$36.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $3.39 / $3.39	Professional		$3.39	$3.39	$3.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.16 / $12.88 / $27.54	Facility		$3.16	$12.88	$27.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $4.68 / $17.78	Professional		$2.69	$4.68	$17.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $42.66 / $77.62	Facility		$12.59	$42.66	$77.62
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $6.31 / $15.85	Professional		$4.37	$6.31	$15.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.72 / $9.33 / $20.42	Facility		$3.72	$9.33	$20.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $5.89 / $11.22	Professional		$3.47	$5.89	$11.22
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $5.50 / $8.91	Professional		$4.47	$5.50	$8.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $5.50 / $12.59	Professional		$4.37	$5.50	$12.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $100.00	Facility		$60.26	$60.26	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $6.61 / $6.61	Professional		$3.31	$6.61	$6.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $6.61 / $15.85	Facility		$4.57	$6.61	$15.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $5.13 / $12.59	Professional		$3.31	$5.13	$12.59
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $5.62 / $9.33	Professional		$4.37	$5.62	$9.33
United Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $3.80 / $5.50	Facility		$2.45	$3.80	$5.50
United Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $3.31 / $10.96	Professional		$2.29	$3.31	$10.96