Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $81.28 / $199.53	Facility		$27.54	$81.28	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.14 / $85.11	Professional		$10.00	$15.14	$85.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $8.13 / $8.91	Professional		$7.94	$8.13	$8.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $30.90 / $66.07	Facility		$7.59	$30.90	$66.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $11.48 / $37.15	Professional		$6.61	$11.48	$37.15
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $77.62 / $177.83	Facility		$30.20	$77.62	$177.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $15.14 / $38.02	Professional		$10.47	$15.14	$38.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $22.39 / $48.98	Facility		$8.91	$22.39	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $13.49 / $22.39	Professional		$7.94	$13.49	$22.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $13.18 / $21.38	Professional		$11.75	$13.18	$21.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $13.18 / $30.20	Professional		$10.72	$13.18	$30.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $15.85 / $15.85	Professional		$7.94	$15.85	$15.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $15.85 / $40.74	Facility		$10.96	$15.85	$40.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.59 / $30.20	Professional		$7.94	$12.59	$30.20
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $13.49 / $22.39	Professional		$10.72	$13.49	$22.39
United Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $7.94 / $13.18	Facility		$5.62	$7.94	$13.18
United Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $7.94 / $26.92	Professional		$5.62	$7.94	$26.92