Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.80 / $4.80 / $30.81	Facility		$4.80	$4.80	$30.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $4.80 / $30.81	Professional		$3.50	$4.80	$30.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.48 / $8.53 / $8.53	Professional		$7.48	$8.53	$8.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.65 / $15.05 / $33.90	Facility		$3.65	$15.05	$33.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.91 / $4.86 / $7.45	Professional		$3.91	$4.86	$7.45
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $10.98 / $15.46 / $23.00	Facility		$10.98	$15.46	$23.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $22.93 / $40.15	Professional		$5.77	$22.93	$40.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $5.18 / $5.71	Facility		$5.00	$5.18	$5.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.78 / $3.78 / $5.52	Professional		$3.78	$3.78	$5.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $4.48 / $5.38 / $11.75	Professional		$4.48	$5.38	$11.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.41 / $7.48 / $16.55	Professional		$6.41	$7.48	$16.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $53.19 / $53.19 / $60.08	Professional		$53.19	$53.19	$60.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.58 / $9.27 / $10.68	Facility		$2.58	$9.27	$10.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.78 / $5.18 / $7.82	Professional		$3.78	$5.18	$7.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $20.14 / $20.14	Professional		$20.14	$20.14	$20.14
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $4.48 / $7.62 / $8.53	Professional		$4.48	$7.62	$8.53
United Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $4.82 / $10.15	Professional		$3.80	$4.82	$10.15