Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.50 / $56.14 / $234.74	Facility		$22.50	$56.14	$234.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.67 / $22.45 / $41.28	Professional		$16.67	$22.45	$41.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.63 / $15.15 / $17.54	Professional		$12.63	$15.15	$17.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.67 / $60.90 / $293.00	Facility		$27.67	$60.90	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.47 / $19.89 / $61.68	Professional		$12.47	$19.89	$61.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $52.75 / $92.60 / $321.39	Facility		$52.75	$92.60	$321.39
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15.65 / $22.36 / $72.44	Professional		$15.65	$22.36	$72.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.48 / $33.15 / $84.51	Facility		$17.48	$33.15	$84.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.69 / $30.12 / $41.89	Professional		$16.69	$30.12	$41.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $22.45 / $25.25 / $40.40	Professional		$22.45	$25.25	$40.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.20 / $25.25 / $55.55	Professional		$20.20	$25.25	$55.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $76.06 / $120.30 / $120.30	Facility		$76.06	$120.30	$120.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.15 / $15.15 / $15.15	Professional		$15.15	$15.15	$15.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.90 / $30.20 / $76.47	Facility		$20.90	$30.20	$76.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.69 / $25.25 / $50.50	Professional		$16.69	$25.25	$50.50
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $88.62 / $88.62 / $88.62	Professional		$88.62	$88.62	$88.62
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $20.20 / $25.25 / $35.35	Professional		$20.20	$25.25	$35.35
United Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $15.02 / $48.51	Professional		$10.61	$15.02	$48.51