Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.76 / $28.64 / $108.86	Facility		$3.76	$28.64	$108.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $2.11 / $12.34	Professional		$1.81	$2.11	$12.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $4.01 / $4.73	Professional		$2.72	$4.01	$4.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.92 / $2.38 / $2.95	Facility		$1.92	$2.38	$2.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $2.52 / $8.42	Professional		$1.81	$2.52	$8.42
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $5.71 / $5.73 / $9.61	Facility		$5.71	$5.73	$9.61
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1.96 / $2.06 / $7.00	Professional		$1.96	$2.06	$7.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.71 / $1.71 / $1.81	Facility		$1.71	$1.71	$1.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $1.81 / $3.14	Professional		$1.81	$1.81	$3.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $3.99 / $8.86	Professional		$2.95	$3.99	$8.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.63 / $2.17 / $8.00	Professional		$1.63	$2.17	$8.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $100.00 / $100.00	Facility		$75.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $125.33 / $125.33 / $125.33	Professional		$125.33	$125.33	$125.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $6.04 / $60.00	Professional		$2.95	$6.04	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.81 / $2.17 / $4.76	Facility		$1.81	$2.17	$4.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $1.81 / $4.63	Professional		$1.81	$1.81	$4.63
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $9.06 / $9.06 / $9.06	Professional		$9.06	$9.06	$9.06
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $1.81 / $2.71	Professional		$1.45	$1.81	$2.71
United Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $1.85 / $3.63	Professional		$1.81	$1.85	$3.63