Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.53 / $48.67 / $105.75	Facility		$9.53	$48.67	$105.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.95 / $6.68 / $41.88	Professional		$4.95	$6.68	$41.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.34 / $4.01 / $4.63	Professional		$3.34	$4.01	$4.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.32 / $16.11 / $293.00	Facility		$7.32	$16.11	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.30 / $5.26 / $16.45	Professional		$3.30	$5.26	$16.45
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $17.30 / $55.40 / $97.40	Facility		$17.30	$55.40	$97.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $5.91 / $32.06	Professional		$4.13	$5.91	$32.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.62 / $8.77 / $22.35	Facility		$4.62	$8.77	$22.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.41 / $7.97 / $11.08	Professional		$4.41	$7.97	$11.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $5.81 / $6.68 / $10.69	Professional		$5.81	$6.68	$10.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.34 / $6.68 / $14.56	Professional		$5.34	$6.68	$14.56
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 $4.01 / $4.01 / $4.01	Professional		$4.01	$4.01	$4.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.54 / $7.99 / $20.22	Facility		$5.54	$7.99	$20.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.41 / $6.68 / $13.36	Professional		$4.41	$6.68	$13.36
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Professional		$23.44	$23.44	$23.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $5.34 / $6.68 / $9.35	Professional		$5.34	$6.68	$9.35
United Facility/Professional Professional Modifier Low / Median / High Price $2.81 / $4.01 / $13.27	Professional		$2.81	$4.01	$13.27