Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.16 / $16.12 / $292.89	Facility		$3.16	$16.12	$292.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $3.94 / $204.17	Professional		$3.13	$3.94	$204.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.96 / $5.45 / $768.74	Professional		$2.96	$5.45	$768.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.76 / $3.47 / $4.51	Facility		$2.76	$3.47	$4.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.96 / $3.13 / $28.72	Professional		$2.96	$3.13	$28.72
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $9.23 / $10.41 / $43.84	Facility		$9.23	$10.41	$43.84
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $3.56 / $9.64	Professional		$3.39	$3.56	$9.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.95 / $2.95 / $3.13	Facility		$2.95	$2.95	$3.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $3.13 / $4.43	Professional		$3.13	$3.13	$4.43
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2.87 / $2.98 / $3.87	Professional		$2.87	$2.98	$3.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $3.76 / $7.09	Professional		$2.82	$3.76	$7.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $2,529.12 / $2,529.12	Facility		$75.00	$2,529.12	$2,529.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $502.47 / $502.47 / $502.47	Professional		$502.47	$502.47	$502.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.87 / $5.88 / $60.00	Professional		$2.87	$5.88	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.13 / $4.07 / $157.69	Facility		$3.13	$4.07	$157.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $3.13 / $4.98	Professional		$3.13	$3.13	$4.98
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7.04 / $7.04 / $7.04	Professional		$7.04	$7.04	$7.04
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $3.13 / $4.69	Professional		$2.50	$3.13	$4.69
United Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $3.32 / $8.49	Professional		$3.13	$3.32	$8.49