Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.36 / $8.69 / $582.48	Facility		$4.36	$8.69	$582.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $4.51 / $810.00	Professional		$4.36	$4.51	$810.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $4.36 / $4.36	Professional		$4.36	$4.36	$4.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.09 / $6.95 / $15.58	Facility		$4.09	$6.95	$15.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.73 / $4.36 / $47.02	Professional		$3.73	$4.36	$47.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $10.06 / $10.51 / $92.60	Facility		$10.06	$10.51	$92.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $4.44 / $4.66 / $14.16	Professional		$4.44	$4.66	$14.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.11 / $4.11 / $4.36	Facility		$4.11	$4.11	$4.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $4.36 / $6.16	Professional		$4.36	$4.36	$6.16
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3.77 / $5.27 / $7.12	Professional		$3.77	$5.27	$7.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.92 / $5.23 / $9.59	Professional		$3.92	$5.23	$9.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $78.41 / $359.05 / $359.05	Facility		$78.41	$359.05	$359.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,120.40 / $2,120.40 / $2,120.40	Professional		$2,120.40	$2,120.40	$2,120.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.27 / $10.80 / $60.00	Professional		$5.27	$10.80	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.36 / $5.23 / $72.52	Facility		$4.36	$5.23	$72.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $4.36 / $7.14	Professional		$4.36	$4.36	$7.14
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $127.82 / $127.82 / $127.82	Professional		$127.82	$127.82	$127.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $3.48 / $4.36 / $6.53	Professional		$3.48	$4.36	$6.53
United Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $4.53 / $8.60	Professional		$4.36	$4.53	$8.60