Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.06 / $7.76 / $54.81	Facility		$3.06	$7.76	$54.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $7.68 / $13.34	Professional		$2.37	$7.68	$13.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $8.15 / $10.52	Facility		$2.04	$8.15	$10.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.96 / $4.30 / $31.78	Professional		$1.96	$4.30	$31.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $15.15 / $21.93 / $29.38	Facility		$15.15	$21.93	$29.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $11.79 / $29.73	Professional		$11.23	$11.79	$29.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.25 / $7.25 / $7.68	Facility		$7.25	$7.25	$7.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.68 / $7.68 / $10.87	Professional		$7.68	$7.68	$10.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $6.50 / $6.59 / $8.77	Professional		$6.50	$6.59	$8.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.91 / $9.22 / $20.51	Professional		$6.91	$9.22	$20.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $974.99 / $974.99	Facility		$75.00	$974.99	$974.99
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $236.00 / $397.52 / $413.42	Professional		$236.00	$397.52	$413.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.50 / $13.32 / $60.00	Professional		$6.50	$13.32	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.68 / $9.86 / $46.20	Facility		$7.68	$9.86	$46.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.68 / $7.68 / $11.11	Professional		$7.68	$7.68	$11.11
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $16.84 / $16.84	Professional		$16.84	$16.84	$16.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $6.15 / $7.68 / $11.52	Professional		$6.15	$7.68	$11.52
United Facility/Professional Professional Modifier Low / Median / High Price $7.68 / $7.68 / $15.58	Professional		$7.68	$7.68	$15.58