Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.75 / $3.75 / $4.25	Facility		$3.75	$3.75	$4.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.28 / $4.25 / $10.57	Professional		$3.28	$4.25	$10.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.99 / $4.99 / $4.99	Professional		$4.99	$4.99	$4.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $12.15 / $35.84	Facility		$2.00	$12.15	$35.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.34 / $2.22 / $7.50	Professional		$1.34	$2.22	$7.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $31.60 / $62.95	Facility		$9.55	$31.60	$62.95
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2.27 / $3.25 / $24.00	Professional		$2.27	$3.25	$24.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $12.53 / $26.40	Facility		$3.98	$12.53	$26.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $11.63 / $14.54	Professional		$2.63	$11.63	$14.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $11.09 / $12.20 / $99.00	Professional		$11.09	$12.20	$99.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $11.09 / $19.41	Professional		$8.86	$11.09	$19.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Facility		$75.00	$75.00	$75.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $9.51 / $19.18	Facility		$5.50	$9.51	$19.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $5.00 / $10.19	Professional		$2.63	$5.00	$10.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $15.45 / $15.45 / $15.45	Professional		$15.45	$15.45	$15.45
United Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $2.27 / $11.09	Professional		$2.10	$2.27	$11.09