Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.50 / $69.75 / $112.40	Facility		$4.50	$69.75	$112.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.57 / $10.78 / $21.56	Professional		$8.57	$10.78	$21.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.56 / $7.25 / $8.39	Professional		$5.56	$7.25	$8.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.25 / $29.16 / $293.00	Facility		$13.25	$29.16	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.97 / $9.52 / $28.13	Professional		$5.97	$9.52	$28.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $31.31 / $77.09 / $157.08	Facility		$31.31	$77.09	$157.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $7.50 / $10.71 / $58.03	Professional		$7.50	$10.71	$58.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.36 / $15.88 / $40.47	Facility		$8.36	$15.88	$40.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $14.67 / $20.12	Professional		$8.11	$14.67	$20.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10.63 / $12.09 / $19.34	Professional		$10.63	$12.09	$19.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.67 / $12.09 / $26.36	Professional		$9.67	$12.09	$26.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $60.00 / $100.00	Facility		$50.00	$60.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10.88 / $14.39 / $22.88	Professional		$10.88	$14.39	$22.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $7.25 / $7.25	Professional		$7.25	$7.25	$7.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.02 / $14.46 / $34.54	Facility		$10.02	$14.46	$34.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $12.74 / $24.18	Professional		$8.11	$12.74	$24.18
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $42.43 / $42.43 / $42.43	Professional		$42.43	$42.43	$42.43
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $9.67 / $12.09 / $16.93	Professional		$9.67	$12.09	$16.93
United Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $7.25 / $23.38	Professional		$5.08	$7.25	$23.38