Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.34 / $11.49 / $314.49	Facility		$5.34	$11.49	$314.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.29 / $5.35 / $91.34	Professional		$5.29	$5.35	$91.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.99 / $5.29 / $5.29	Professional		$3.99	$5.29	$5.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.94 / $6.03 / $7.63	Facility		$4.94	$6.03	$7.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.29 / $5.49 / $10.60	Professional		$5.29	$5.49	$10.60
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $5.48 / $5.80 / $11.81	Facility		$5.48	$5.80	$11.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $5.40 / $5.56 / $12.03	Professional		$5.40	$5.56	$12.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $5.00 / $5.30	Facility		$5.00	$5.00	$5.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.30 / $5.30 / $5.80	Professional		$5.30	$5.30	$5.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $4.83 / $5.14 / $6.53	Professional		$4.83	$5.14	$6.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $6.36 / $11.66	Professional		$4.76	$6.36	$11.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $383.26 / $383.26	Facility		$75.00	$383.26	$383.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $97.55 / $97.55 / $97.55	Professional		$97.55	$97.55	$97.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.83 / $9.90 / $60.00	Professional		$4.83	$9.90	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.58 / $5.30 / $8.02	Facility		$1.58	$5.30	$8.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $5.30 / $6.04	Professional		$5.09	$5.30	$6.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $7.08	Professional		$7.08	$7.08	$7.08
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $4.24 / $5.30 / $7.95	Professional		$4.24	$5.30	$7.95
United Facility/Professional Professional Modifier Low / Median / High Price $5.30 / $5.30 / $10.18	Professional		$5.30	$5.30	$10.18