Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.55 / $49.47 / $90.23	Facility		$4.55	$49.47	$90.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.27 / $3.80 / $16.41	Professional		$3.27	$3.80	$16.41
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 $2.11 / $3.36 / $9.94	Professional		$2.11	$3.36	$9.94
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $10.77 / $38.02 / $74.44	Facility		$10.77	$38.02	$74.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2.65 / $3.78 / $20.50	Professional		$2.65	$3.78	$20.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.95 / $5.62 / $14.32	Facility		$2.95	$5.62	$14.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.76 / $5.09 / $7.83	Professional		$2.76	$5.09	$7.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3.18 / $4.26 / $6.83	Professional		$3.18	$4.26	$6.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.42 / $4.28 / $8.33	Professional		$3.42	$4.28	$8.33
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 $3.84 / $5.05 / $7.96	Professional		$3.84	$5.05	$7.96
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 $3.54 / $5.12 / $12.27	Facility		$3.54	$5.12	$12.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.78 / $4.26 / $8.53	Professional		$2.78	$4.26	$8.53
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 $1.79 / $2.56 / $8.25	Professional		$1.79	$2.56	$8.25