Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.61 / $189.79 / $667.66	Facility		$20.61	$189.79	$667.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $25.35 / $76.80	Professional		$0.15	$25.35	$76.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $15.00 / $24.00	Professional		$12.00	$15.00	$24.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.14 / $0.16 / $0.22	Facility		$0.14	$0.16	$0.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.15 / $0.44	Professional		$0.15	$0.15	$0.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $0.33 / $0.33 / $0.33	Facility		$0.33	$0.33	$0.33
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.14 / $0.37	Professional		$0.11	$0.14	$0.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.14 / $0.14 / $0.15	Facility		$0.14	$0.14	$0.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.15 / $0.22	Professional		$0.15	$0.15	$0.22
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.17 / $0.20	Professional		$0.14	$0.17	$0.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.17 / $0.26	Professional		$0.14	$0.17	$0.26
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 $1,506.04 / $1,506.04 / $1,506.04	Professional		$1,506.04	$1,506.04	$1,506.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.28 / $60.00	Professional		$0.14	$0.28	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.16 / $0.50	Facility		$0.15	$0.16	$0.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.15 / $0.22	Professional		$0.15	$0.15	$0.22
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $0.23 / $0.23 / $0.23	Professional		$0.23	$0.23	$0.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.17 / $0.26	Professional		$0.12	$0.17	$0.26
United Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.15 / $0.31	Professional		$0.15	$0.15	$0.31