Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.00 / $100.50 / $156.75	Facility		$6.00	$100.50	$156.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.22 / $14.90 / $29.28	Professional		$12.22	$14.90	$29.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.57 / $9.88 / $14.81	Professional		$7.57	$9.88	$14.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.04 / $39.70 / $293.00	Facility		$18.04	$39.70	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $12.97 / $38.33	Professional		$8.13	$12.97	$38.33
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $42.63 / $86.00 / $211.69	Facility		$42.63	$86.00	$211.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.21 / $14.58 / $56.95	Professional		$10.21	$14.58	$56.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.41 / $21.61 / $55.11	Facility		$11.41	$21.61	$55.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.82 / $20.09 / $29.51	Professional		$10.82	$20.09	$29.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $14.60 / $16.46 / $26.34	Professional		$14.60	$16.46	$26.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.17 / $16.46 / $35.88	Professional		$13.17	$16.46	$35.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $62.00 / $79.02 / $100.00	Facility		$62.00	$79.02	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14.81 / $20.58 / $31.33	Professional		$14.81	$20.58	$31.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.87 / $9.87 / $9.87	Professional		$9.87	$9.87	$9.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.63 / $19.05 / $46.37	Facility		$13.63	$19.05	$46.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.90 / $16.46 / $32.92	Professional		$10.90	$16.46	$32.92
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $57.77 / $57.77 / $57.77	Professional		$57.77	$57.77	$57.77
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $13.17 / $16.46 / $23.04	Professional		$13.17	$16.46	$23.04
United Facility/Professional Professional Modifier Low / Median / High Price $6.91 / $9.78 / $31.62	Professional		$6.91	$9.78	$31.62