Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.68 / $4.03 / $38.72	Facility		$3.68	$4.03	$38.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.03 / $6.19 / $38.72	Professional		$4.03	$6.19	$38.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.41 / $13.41 / $13.41	Professional		$13.41	$13.41	$13.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.74 / $5.71 / $15.09	Facility		$4.74	$5.71	$15.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.19 / $6.56 / $12.47	Professional		$6.19	$6.56	$12.47
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $14.14 / $18.37 / $28.38	Facility		$14.14	$18.37	$28.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $28.80 / $50.44	Professional		$7.25	$28.80	$50.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.07 / $8.07 / $11.54	Facility		$8.07	$8.07	$11.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.86 / $6.86 / $9.36	Professional		$6.86	$6.86	$9.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $13.41 / $16.09	Professional		$10.73	$13.41	$16.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.05 / $9.39 / $20.79	Professional		$8.05	$9.39	$20.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $80.00 / $80.00	Facility		$75.00	$80.00	$80.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $66.78 / $66.78 / $100.58	Professional		$66.78	$66.78	$100.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.49 / $32.34 / $32.34	Professional		$27.49	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.16 / $13.41 / $13.42	Facility		$8.16	$13.41	$13.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.86 / $8.07 / $12.24	Professional		$6.86	$8.07	$12.24
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $25.33 / $25.33	Professional		$25.33	$25.33	$25.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $15.71 / $20.42	Professional		$10.73	$15.71	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $5.22 / $5.69 / $12.77	Professional		$5.22	$5.69	$12.77