Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $29.51 / $63.10	Facility		$9.77	$29.51	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.62 / $25.12	Professional		$3.98	$5.62	$25.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $3.39 / $3.72	Professional		$3.39	$3.39	$3.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.16 / $12.88 / $28.18	Facility		$3.16	$12.88	$28.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $4.79 / $16.22	Professional		$2.75	$4.79	$16.22
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $42.66 / $79.43	Facility		$12.59	$42.66	$79.43
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $6.31 / $16.22	Professional		$4.47	$6.31	$16.22
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 $3.31 / $5.62 / $9.33	Professional		$3.31	$5.62	$9.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $5.62 / $8.91	Professional		$4.90	$5.62	$8.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $5.62 / $12.59	Professional		$4.47	$5.62	$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 / $17.38	Facility		$4.57	$6.61	$17.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $5.37 / $12.59	Professional		$3.31	$5.37	$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 $4.47 / $5.62 / $9.55	Professional		$4.47	$5.62	$9.55
United Facility/Professional Facility Modifier Low / Median / High Price $2.51 / $3.80 / $5.62	Facility		$2.51	$3.80	$5.62
United Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $3.31 / $11.22	Professional		$2.34	$3.31	$11.22