Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $46.77 / $912.01	Facility		$2.00	$46.77	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $7.08 / $25.12	Professional		$2.14	$7.08	$25.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $9.12 / $12.88	Professional		$5.37	$9.12	$12.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.16 / $3.98 / $10.00	Facility		$3.16	$3.98	$10.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $4.47 / $12.30	Professional		$3.63	$4.47	$12.30
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $12.02 / $26.30	Professional		$9.12	$12.02	$26.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.13 / $5.13	Professional		$5.13	$5.13	$5.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.02 / $14.79	Professional		$10.96	$12.02	$14.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $13.80 / $32.36	Professional		$9.77	$13.80	$32.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $53.70 / $81.28	Professional		$12.02	$53.70	$81.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Professional		$15.85	$15.85	$15.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $10.96 / $15.14	Facility		$5.75	$10.96	$15.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.13 / $10.47	Professional		$5.13	$5.13	$10.47
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $14.79 / $22.91	Professional		$8.71	$14.79	$22.91
United Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.68 / $10.72	Professional		$4.07	$4.68	$10.72