Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.03 / $53.00 / $102.85	Facility		$10.03	$53.00	$102.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.46 / $4.92 / $17.30	Professional		$3.46	$4.92	$17.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $3.34 / $4.51	Professional		$2.50	$3.34	$4.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $12.11 / $293.00	Facility		$5.50	$12.11	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.48 / $3.95 / $12.38	Professional		$2.48	$3.95	$12.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $12.64 / $44.79 / $89.10	Facility		$12.64	$44.79	$89.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $4.44 / $24.10	Professional		$3.11	$4.44	$24.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.49 / $6.59 / $16.79	Facility		$3.49	$6.59	$16.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.68 / $6.20 / $9.03	Professional		$3.68	$6.20	$9.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $5.01 / $8.02	Professional		$4.09	$5.01	$8.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $5.01 / $11.55	Professional		$4.01	$5.01	$11.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $60.00 / $60.00	Facility		$19.00	$60.00	$60.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5.94 / $7.36 / $10.24	Professional		$5.94	$7.36	$10.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.01 / $3.01 / $3.01	Professional		$3.01	$3.01	$3.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.15 / $5.80 / $14.02	Facility		$4.15	$5.80	$14.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.69 / $5.52 / $10.03	Professional		$3.69	$5.52	$10.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $17.62 / $17.62	Professional		$17.62	$17.62	$17.62
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $5.01 / $7.03	Professional		$4.01	$5.01	$7.03
United Facility/Professional Professional Modifier Low / Median / High Price $2.11 / $2.98 / $9.71	Professional		$2.11	$2.98	$9.71