Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.15 / $7.53 / $92.61	Facility		$2.15	$7.53	$92.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $3.11 / $20.80	Professional		$2.14	$3.11	$20.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $11.36 / $13.56	Professional		$8.61	$11.36	$13.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.11 / $3.70 / $6.26	Facility		$3.11	$3.70	$6.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.61 / $4.25 / $10.01	Professional		$3.61	$4.25	$10.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $15.15 / $29.59	Professional		$9.91	$15.15	$29.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $5.08 / $5.08	Professional		$5.08	$5.08	$5.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $11.84 / $14.53	Professional		$10.76	$11.84	$14.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $14.53 / $28.73	Professional		$9.00	$14.53	$28.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $21.84 / $90.00 / $90.00	Facility		$21.84	$90.00	$90.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $53.58 / $53.58 / $80.70	Professional		$53.58	$53.58	$80.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.32 / $32.32 / $32.32	Professional		$32.32	$32.32	$32.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.11 / $10.76 / $14.74	Facility		$7.11	$10.76	$14.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $5.08 / $11.78	Professional		$5.08	$5.08	$11.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $20.29 / $20.29 / $20.29	Professional		$20.29	$20.29	$20.29
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $13.50 / $17.55	Professional		$8.61	$13.50	$17.55
United Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $4.65 / $12.05	Professional		$4.37	$4.65	$12.05