Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.99 / $27.46 / $86.79	Facility		$4.99	$27.46	$86.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $3.87 / $7.60	Professional		$3.20	$3.87	$7.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $2.56 / $2.97	Professional		$2.56	$2.56	$2.97
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 / $3.86 / $10.22	Professional		$2.11	$3.86	$10.22
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 $3.80 / $4.26 / $6.83	Professional		$3.80	$4.26	$6.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.42 / $4.26 / $9.39	Professional		$3.42	$4.26	$9.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $70.00 / $80.00	Facility		$70.00	$70.00	$80.00
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 / $4.95 / $12.27	Facility		$3.54	$4.95	$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 / $3.88 / $5.32	Professional		$3.42	$3.88	$5.32
United Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $3.58 / $7.45	Professional		$2.56	$3.58	$7.45