Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.79 / $5.58 / $503.72	Facility		$2.79	$5.58	$503.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $2.81 / $420.00	Professional		$2.79	$2.81	$420.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $2.50 / $2.50	Professional		$2.50	$2.50	$2.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.93 / $4.46 / $9.99	Facility		$1.93	$4.46	$9.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.59 / $2.79 / $32.29	Professional		$1.59	$2.79	$32.29
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $1.84 / $2.49 / $64.14	Facility		$1.84	$2.49	$64.14
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2.92 / $3.07 / $9.15	Professional		$2.92	$3.07	$9.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $2.63 / $2.79	Facility		$2.63	$2.63	$2.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $2.79 / $3.03	Professional		$2.79	$2.79	$3.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2.22 / $3.00 / $8.35	Professional		$2.22	$3.00	$8.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $3.35 / $6.14	Professional		$2.50	$3.35	$6.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $224.85 / $224.85	Facility		$75.00	$224.85	$224.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,837.68 / $1,837.68 / $1,837.68	Professional		$1,837.68	$1,837.68	$1,837.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.22 / $4.55 / $60.00	Professional		$2.22	$4.55	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.79 / $3.04 / $54.15	Facility		$2.79	$3.04	$54.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.16 / $2.79 / $3.03	Professional		$2.16	$2.79	$3.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $80.05 / $80.05 / $80.05	Professional		$80.05	$80.05	$80.05
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2.23 / $2.79 / $4.19	Professional		$2.23	$2.79	$4.19
United Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $2.79 / $5.63	Professional		$2.79	$2.79	$5.63