Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.45 / $21.56 / $603.16	Facility		$0.45	$21.56	$603.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.45 / $0.86 / $95.76	Professional		$0.45	$0.86	$95.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $54.00 / $58.00	Professional		$45.00	$54.00	$58.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.41 / $0.49 / $0.65	Facility		$0.41	$0.49	$0.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.45 / $0.45 / $0.91	Professional		$0.45	$0.45	$0.91
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $0.94 / $0.94 / $0.94	Facility		$0.94	$0.94	$0.94
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $0.23 / $0.26 / $0.78	Professional		$0.23	$0.26	$0.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.42 / $0.42 / $0.45	Facility		$0.42	$0.42	$0.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.45 / $0.45 / $0.46	Professional		$0.45	$0.45	$0.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $0.41 / $0.48 / $0.56	Professional		$0.41	$0.48	$0.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.41 / $0.52 / $0.86	Professional		$0.41	$0.52	$0.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $100.00 / $100.00	Facility		$85.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,242.39 / $11,271.93 / $11,722.81	Professional		$1,242.39	$11,271.93	$11,722.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.41 / $0.84 / $60.00	Professional		$0.41	$0.84	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.42 / $0.45 / $0.60	Facility		$0.42	$0.45	$0.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.45 / $0.45 / $0.51	Professional		$0.45	$0.45	$0.51
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $0.76 / $0.76 / $0.76	Professional		$0.76	$0.76	$0.76
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.48 / $0.72	Professional		$0.36	$0.48	$0.72
United Facility/Professional Professional Modifier Low / Median / High Price $0.45 / $0.45 / $0.88	Professional		$0.45	$0.45	$0.88