Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.56 / $48.64 / $368.55	Facility		$3.56	$48.64	$368.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $25.89 / $108.00	Professional		$3.02	$25.89	$108.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $2.72 / $84.98	Professional		$2.72	$2.72	$84.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.54 / $3.28 / $4.30	Facility		$2.54	$3.28	$4.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $3.02 / $12.15	Professional		$2.72	$3.02	$12.15
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $7.14 / $7.25 / $12.18	Facility		$7.14	$7.25	$12.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $4.41 / $4.41 / $10.97	Professional		$4.41	$4.41	$10.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.85 / $2.85 / $3.02	Facility		$2.85	$2.85	$3.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $4.23	Professional		$3.02	$3.02	$4.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3.15 / $3.32 / $4.48	Professional		$3.15	$3.32	$4.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $3.62 / $6.84	Professional		$2.72	$3.62	$6.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $785.34 / $785.34	Facility		$75.00	$785.34	$785.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $102.61 / $171.39 / $178.24	Professional		$102.61	$171.39	$178.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.32 / $6.80 / $60.00	Professional		$3.32	$6.80	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.82 / $8.52	Facility		$3.02	$3.82	$8.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $4.26	Professional		$3.02	$3.02	$4.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $4.80 / $4.80	Professional		$4.80	$4.80	$4.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $3.02 / $4.53	Professional		$2.41	$3.02	$4.53
United Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $6.09	Professional		$3.02	$3.02	$6.09