Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.28 / $3.59 / $35.32	Facility		$3.28	$3.59	$35.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.35 / $5.35 / $34.19	Professional		$3.35	$5.35	$34.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.24 / $12.24 / $12.24	Professional		$12.24	$12.24	$12.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.41 / $5.31 / $14.05	Facility		$4.41	$5.31	$14.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.13 / $6.13 / $11.38	Professional		$6.13	$6.13	$11.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $12.89 / $16.75 / $25.88	Facility		$12.89	$16.75	$25.88
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $6.62 / $26.28 / $46.01	Professional		$6.62	$26.28	$46.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.01 / $7.35 / $9.72	Facility		$7.01	$7.35	$9.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.25 / $6.25 / $8.06	Professional		$6.25	$6.25	$8.06
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $9.78 / $12.24 / $14.69	Professional		$9.78	$12.24	$14.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7.34 / $8.57 / $18.97	Professional		$7.34	$8.57	$18.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $60.96 / $60.96 / $91.80	Professional		$60.96	$60.96	$91.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.75 / $36.75 / $36.75	Professional		$36.75	$36.75	$36.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.35 / $10.82 / $12.24	Facility		$3.35	$10.82	$12.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.25 / $7.35 / $11.65	Professional		$6.25	$7.35	$11.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $23.10 / $23.10 / $23.10	Professional		$23.10	$23.10	$23.10
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $9.78 / $14.33 / $18.63	Professional		$9.78	$14.33	$18.63
United Facility/Professional Facility Modifier Low / Median / High Price $3.35 / $4.72 / $5.82	Facility		$3.35	$4.72	$5.82
United Facility/Professional Professional Modifier Low / Median / High Price $4.72 / $5.19 / $11.65	Professional		$4.72	$5.19	$11.65