Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.43 / $109.62 / $291.75	Facility		$17.43	$109.62	$291.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.66 / $13.12 / $17.43	Professional		$11.66	$13.12	$17.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.29 / $8.74 / $10.11	Professional		$7.29	$8.74	$10.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.96 / $35.14 / $293.00	Facility		$15.96	$35.14	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $11.48 / $32.77	Professional		$7.20	$11.48	$32.77
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $37.74 / $84.90 / $187.31	Facility		$37.74	$84.90	$187.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $12.90 / $69.94	Professional		$9.02	$12.90	$69.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.08 / $19.13 / $48.77	Facility		$10.08	$19.13	$48.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $17.54 / $25.90	Professional		$9.55	$17.54	$25.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $12.95 / $14.57 / $23.31	Professional		$12.95	$14.57	$23.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.66 / $14.57 / $32.50	Professional		$11.66	$14.57	$32.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $52.12 / $69.56 / $100.00	Facility		$52.12	$69.56	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $8.74 / $8.74	Professional		$8.74	$8.74	$8.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.07 / $16.86 / $41.64	Facility		$12.07	$16.86	$41.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.74 / $14.57 / $29.14	Professional		$9.74	$14.57	$29.14
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $51.14 / $51.14 / $51.14	Professional		$51.14	$51.14	$51.14
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $11.66 / $14.57 / $20.39	Professional		$11.66	$14.57	$20.39
United Facility/Professional Professional Modifier Low / Median / High Price $6.12 / $8.74 / $29.22	Professional		$6.12	$8.74	$29.22