Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $72.70 / $189.60	Facility		$8.32	$72.70	$189.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.38 / $3.17 / $10.95	Professional		$2.38	$3.17	$10.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.59 / $1.90 / $3.17	Professional		$1.59	$1.90	$3.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $7.65 / $293.00	Facility		$3.47	$7.65	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.90 / $2.57 / $7.14	Professional		$1.90	$2.57	$7.14
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $7.69 / $28.00 / $57.50	Facility		$7.69	$28.00	$57.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1.97 / $2.81 / $15.22	Professional		$1.97	$2.81	$15.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.19 / $4.16 / $10.61	Facility		$2.19	$4.16	$10.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.35 / $3.72 / $5.61	Professional		$2.35	$3.72	$5.61
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2.77 / $3.17 / $5.07	Professional		$2.77	$3.17	$5.07
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $3.17 / $3.17 / $3.17	Professional		$3.17	$3.17	$3.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $3.17 / $6.97	Professional		$2.54	$3.17	$6.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $27.33 / $60.00 / $60.00	Facility		$27.33	$60.00	$60.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $4.43 / $16.93	Professional		$3.72	$4.43	$16.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $3.78 / $9.60	Facility		$2.63	$3.78	$9.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.35 / $3.49 / $6.34	Professional		$2.35	$3.49	$6.34
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $11.12 / $11.12 / $11.12	Professional		$11.12	$11.12	$11.12
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $3.17 / $4.44	Professional		$2.54	$3.17	$4.44
United Facility/Professional Professional Modifier Low / Median / High Price $1.90 / $2.66 / $6.09	Professional		$1.90	$2.66	$6.09