Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $21.61 / $230.36	Facility		$2.00	$21.61	$230.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $4.01 / $76.81	Professional		$1.99	$4.01	$76.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.72 / $1.72 / $3.88	Professional		$1.72	$1.72	$3.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.60 / $2.11 / $2.73	Facility		$1.60	$2.11	$2.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.72 / $1.99 / $4.05	Professional		$1.72	$1.99	$4.05
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $5.20 / $5.42 / $7.66	Facility		$5.20	$5.42	$7.66
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $2.29 / $5.77	Professional		$2.18	$2.29	$5.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.88 / $1.88 / $1.99	Facility		$1.88	$1.88	$1.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $1.99 / $2.82	Professional		$1.99	$1.99	$2.82
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2.21 / $2.23 / $3.01	Professional		$2.21	$2.23	$3.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.79 / $2.39 / $4.58	Professional		$1.79	$2.39	$4.58
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 $60.42 / $60.42 / $60.42	Professional		$60.42	$60.42	$60.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.23 / $4.57 / $60.00	Professional		$2.23	$4.57	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.99 / $2.21 / $3.44	Facility		$1.99	$2.21	$3.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $1.99 / $3.55	Professional		$1.99	$1.99	$3.55
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2.71 / $2.71 / $2.71	Professional		$2.71	$2.71	$2.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1.59 / $1.99 / $2.99	Professional		$1.59	$1.99	$2.99
United Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $1.99 / $3.91	Professional		$1.99	$1.99	$3.91