Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $19.05 / $83.18	Facility		$10.23	$19.05	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $8.32 / $30.20	Professional		$7.94	$8.32	$30.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $8.13	Professional		$8.13	$8.13	$8.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $10.00 / $19.05	Facility		$8.91	$10.00	$19.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.51 / $39.81	Professional		$8.13	$8.51	$39.81
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $14.45 / $19.05	Facility		$12.88	$14.45	$19.05
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.23 / $16.98	Professional		$8.91	$10.23	$16.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $7.76 / $8.13	Facility		$7.76	$7.76	$8.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $9.55	Professional		$8.13	$8.13	$9.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $11.22	Professional		$8.13	$8.13	$11.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $8.91 / $16.22	Professional		$7.41	$8.91	$16.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $104.71	Professional		$85.11	$85.11	$104.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.32 / $8.32	Professional		$8.32	$8.32	$8.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $8.51 / $16.98	Facility		$6.17	$8.51	$16.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $11.48	Professional		$8.13	$8.13	$11.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $9.55 / $9.55	Professional		$9.55	$9.55	$9.55
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $8.91 / $13.80	Professional		$6.46	$8.91	$13.80
United Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $16.60	Facility		$16.60	$16.60	$16.60
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $11.22	Professional		$8.13	$8.13	$11.22