Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.99 / $81.59 / $498.29	Facility		$2.99	$81.59	$498.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $43.39 / $183.78	Professional		$2.47	$43.39	$183.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.90 / $2.47 / $4.75	Professional		$1.90	$2.47	$4.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.99 / $2.62 / $3.38	Facility		$1.99	$2.62	$3.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.11 / $2.47 / $10.96	Professional		$2.11	$2.47	$10.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $7.83 / $8.09 / $11.29	Facility		$7.83	$8.09	$11.29
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $3.65 / $3.83 / $9.66	Professional		$3.65	$3.83	$9.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.33 / $2.33 / $2.47	Facility		$2.33	$2.33	$2.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $2.47 / $3.50	Professional		$2.47	$2.47	$3.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $3.63 / $4.90	Professional		$2.93	$3.63	$4.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.22 / $2.96 / $6.30	Professional		$2.22	$2.96	$6.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $2,976.31 / $2,976.31	Facility		$75.00	$2,976.31	$2,976.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $330.00 / $535.00 / $542.05	Professional		$330.00	$535.00	$542.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $7.44 / $60.00	Professional		$3.63	$7.44	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.47 / $3.40 / $115.68	Facility		$2.47	$3.40	$115.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $2.47 / $4.54	Professional		$2.47	$2.47	$4.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $4.90 / $4.90	Professional		$4.90	$4.90	$4.90
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1.98 / $2.47 / $3.71	Professional		$1.98	$2.47	$3.71
United Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $2.54 / $5.11	Professional		$2.47	$2.54	$5.11