Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.67 / $193.21 / $618.30	Facility		$28.67	$193.21	$618.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.48 / $6.79 / $13.85	Professional		$4.48	$6.79	$13.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $5.08 / $6.77	Professional		$3.89	$5.08	$6.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.27 / $20.41 / $293.00	Facility		$9.27	$20.41	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.18 / $6.67 / $21.02	Professional		$4.18	$6.67	$21.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $21.91 / $66.48 / $110.02	Facility		$21.91	$66.48	$110.02
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $5.24 / $7.49 / $16.55	Professional		$5.24	$7.49	$16.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.85 / $11.11 / $29.20	Facility		$5.85	$11.11	$29.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.20 / $10.33 / $15.06	Professional		$6.20	$10.33	$15.06
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $7.27 / $8.46 / $13.54	Professional		$7.27	$8.46	$13.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $8.46 / $18.61	Professional		$6.77	$8.46	$18.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $63.15 / $80.30 / $80.30	Facility		$63.15	$80.30	$80.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $10.58 / $16.64	Professional		$5.50	$10.58	$16.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.35 / $9.78 / $24.27	Facility		$6.35	$9.78	$24.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.26 / $9.31 / $16.92	Professional		$6.26	$9.31	$16.92
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $29.69 / $29.69 / $29.69	Professional		$29.69	$29.69	$29.69
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $8.46 / $11.84	Professional		$6.77	$8.46	$11.84
United Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $5.08 / $16.98	Professional		$3.55	$5.08	$16.98