Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.98 / $108.90 / $234.00	Facility		$21.98	$108.90	$234.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.79 / $13.07 / $29.40	Professional		$7.79	$13.07	$29.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $8.82 / $13.23	Professional		$6.76	$8.82	$13.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.11 / $35.46 / $293.00	Facility		$16.11	$35.46	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.26 / $11.58 / $32.49	Professional		$7.26	$11.58	$32.49
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $38.07 / $85.00 / $188.97	Facility		$38.07	$85.00	$188.97
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $13.02 / $70.56	Professional		$9.11	$13.02	$70.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.18 / $19.30 / $49.23	Facility		$10.18	$19.30	$49.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $17.76 / $25.90	Professional		$9.55	$17.76	$25.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $13.07 / $14.70 / $23.52	Professional		$13.07	$14.70	$23.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.76 / $14.71 / $32.34	Professional		$11.76	$14.71	$32.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.71 / $70.77 / $100.00	Facility		$50.71	$70.77	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16.71 / $20.81 / $28.81	Professional		$16.71	$20.81	$28.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.82 / $8.82 / $8.82	Professional		$8.82	$8.82	$8.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.17 / $17.59 / $44.21	Facility		$12.17	$17.59	$44.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.74 / $14.70 / $29.40	Professional		$9.74	$14.70	$29.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $51.59 / $51.59 / $51.59	Professional		$51.59	$51.59	$51.59
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $11.76 / $14.70 / $20.58	Professional		$11.76	$14.70	$20.58
United Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $8.82 / $28.43	Professional		$6.17	$8.82	$28.43