Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $14.13 / $114.82	Facility		$3.47	$14.13	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $13.80 / $81.28	Professional		$2.00	$13.80	$81.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.09 / $53.70	Professional		$2.04	$2.09	$53.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $2.63 / $4.90	Facility		$2.29	$2.63	$4.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $2.40 / $47.86	Professional		$2.09	$2.40	$47.86
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $4.68 / $5.89	Facility		$4.17	$4.68	$5.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.63 / $4.90	Professional		$2.29	$2.63	$4.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.00 / $2.09	Facility		$2.00	$2.00	$2.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $2.09 / $2.57	Professional		$2.09	$2.09	$2.57
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.29 / $3.09	Professional		$2.29	$2.29	$3.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.91 / $2.29 / $5.25	Professional		$1.91	$2.29	$5.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $151.36	Professional		$107.15	$107.15	$151.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $2.69 / $2.69	Professional		$2.69	$2.69	$2.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.09 / $2.63 / $5.13	Facility		$2.09	$2.63	$5.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.19 / $3.80	Professional		$2.19	$2.19	$3.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.02	Professional		$3.02	$3.02	$3.02
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $2.40 / $3.72	Professional		$1.74	$2.40	$3.72
United Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $6.46 / $6.46	Facility		$6.46	$6.46	$6.46
United Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $2.09 / $4.27	Professional		$2.09	$2.09	$4.27