Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $12.88 / $75.86	Facility		$4.27	$12.88	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $3.98 / $31.62	Professional		$1.00	$3.98	$31.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $2.88 / $7.59	Professional		$2.88	$2.88	$7.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $10.96 / $23.99	Facility		$2.69	$10.96	$23.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $3.09 / $8.13	Professional		$1.32	$3.09	$8.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $22.39 / $48.98	Facility		$7.94	$22.39	$48.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $1.86 / $9.33	Professional		$1.29	$1.86	$9.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.16 / $7.94 / $17.38	Facility		$3.16	$7.94	$17.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $4.79 / $7.76	Professional		$3.02	$4.79	$7.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $4.79 / $7.59	Professional		$1.20	$4.79	$7.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $4.79 / $10.47	Professional		$3.80	$4.79	$10.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $5.75 / $5.75	Professional		$2.82	$5.75	$5.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $5.50 / $14.13	Facility		$3.98	$5.50	$14.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $3.98 / $11.22	Professional		$2.57	$3.98	$11.22
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $16.60	Professional		$16.60	$16.60	$16.60
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $1.70 / $4.79	Professional		$1.20	$1.70	$4.79
United Facility/Professional Facility Modifier Low / Median / High Price $2.14 / $2.82 / $4.79	Facility		$2.14	$2.82	$4.79
United Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.82 / $9.33	Professional		$2.00	$2.82	$9.33