Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.79 / $105.75 / $420.56	Facility		$12.79	$105.75	$420.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $7.55 / $34.81	Professional		$6.08	$7.55	$34.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.34 / $5.21 / $7.81	Professional		$4.34	$5.21	$7.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.51 / $20.94 / $293.00	Facility		$9.51	$20.94	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $6.84 / $21.02	Professional		$4.29	$6.84	$21.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $22.48 / $66.72 / $112.81	Facility		$22.48	$66.72	$112.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $5.38 / $7.69 / $16.98	Professional		$5.38	$7.69	$16.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.01 / $11.39 / $29.05	Facility		$6.01	$11.39	$29.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.80 / $10.52 / $14.37	Professional		$5.80	$10.52	$14.37
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $7.60 / $8.68 / $13.89	Professional		$7.60	$8.68	$13.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.94 / $8.68 / $19.36	Professional		$6.94	$8.68	$19.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $78.44 / $99.74 / $99.74	Facility		$78.44	$99.74	$99.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $10.51 / $16.42	Professional		$5.50	$10.51	$16.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.21 / $5.21 / $5.21	Professional		$5.21	$5.21	$5.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.51 / $10.08 / $24.82	Facility		$6.51	$10.08	$24.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.39 / $8.73 / $17.36	Professional		$6.39	$8.73	$17.36
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $30.46 / $30.46 / $30.46	Professional		$30.46	$30.46	$30.46
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $6.94 / $8.68 / $12.15	Professional		$6.94	$8.68	$12.15
United Facility/Professional Professional Modifier Low / Median / High Price $3.65 / $5.17 / $15.76	Professional		$3.65	$5.17	$15.76