Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.63 / $74.25 / $119.63	Facility		$22.63	$74.25	$119.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $15.12 / $30.19	Professional		$12.74	$15.12	$30.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.96 / $9.55 / $14.33	Professional		$7.96	$9.55	$14.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.44 / $38.40 / $293.00	Facility		$17.44	$38.40	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.21 / $10.98 / $23.56	Professional		$6.21	$10.98	$23.56
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $41.23 / $85.70 / $204.42	Facility		$41.23	$85.70	$204.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $14.09 / $45.62	Professional		$9.86	$14.09	$45.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.75 / $20.91 / $53.30	Facility		$10.75	$20.91	$53.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.78 / $22.72 / $59.89	Professional		$11.78	$22.72	$59.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $14.14 / $15.92 / $25.47	Professional		$14.14	$15.92	$25.47
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $15.01 / $17.30 / $17.30	Professional		$15.01	$17.30	$17.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $15.92 / $35.02	Professional		$12.74	$15.92	$35.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $39.00 / $75.62 / $75.62	Facility		$39.00	$75.62	$75.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14.33 / $19.89 / $30.35	Professional		$14.33	$19.89	$30.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $9.55 / $9.55	Professional		$9.55	$9.55	$9.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.16 / $18.42 / $45.47	Facility		$13.16	$18.42	$45.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.78 / $17.07 / $34.22	Professional		$11.78	$17.07	$34.22
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $55.87 / $55.87 / $55.87	Professional		$55.87	$55.87	$55.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $14.42 / $19.80	Professional		$12.74	$14.42	$19.80
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $13.33 / $27.93	Professional		$9.55	$13.33	$27.93