Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.09 / $82.20 / $186.44	Facility		$21.09	$82.20	$186.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.33 / $19.05 / $69.89	Professional		$15.33	$19.05	$69.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.40 / $7.40 / $13.86	Professional		$7.40	$7.40	$13.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.29 / $53.47 / $293.00	Facility		$24.29	$53.47	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.92 / $14.22 / $43.03	Professional		$8.92	$14.22	$43.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $46.31 / $87.40 / $232.12	Facility		$46.31	$87.40	$232.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $15.99 / $53.21	Professional		$11.19	$15.99	$53.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.41 / $28.82 / $71.47	Facility		$14.41	$28.82	$71.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.92 / $13.73 / $32.01	Professional		$8.92	$13.73	$32.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $17.73 / $22.17 / $35.47	Professional		$17.73	$22.17	$35.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.73 / $22.17 / $48.77	Professional		$17.73	$22.17	$48.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $59.33 / $105.31 / $158.00	Facility		$59.33	$105.31	$158.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.30 / $13.30 / $13.30	Professional		$13.30	$13.30	$13.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.52 / $22.71 / $55.43	Facility		$15.52	$22.71	$55.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.37 / $22.17 / $39.15	Professional		$13.37	$22.17	$39.15
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $77.81 / $77.81 / $77.81	Professional		$77.81	$77.81	$77.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $17.73 / $22.17 / $31.04	Professional		$17.73	$22.17	$31.04
United Facility/Professional Professional Modifier Low / Median / High Price $9.31 / $10.86 / $36.33	Professional		$9.31	$10.86	$36.33