Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.64 / $64.31 / $109.50	Facility		$11.64	$64.31	$109.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.40 / $6.49 / $10.80	Professional		$5.40	$6.49	$10.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $4.32 / $5.00	Professional		$3.31	$4.32	$5.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.89 / $17.37 / $293.00	Facility		$7.89	$17.37	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.56 / $5.67 / $14.42	Professional		$3.56	$5.67	$14.42
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $18.64 / $59.40 / $97.98	Facility		$18.64	$59.40	$97.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $6.38 / $34.56	Professional		$4.47	$6.38	$34.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.99 / $9.44 / $24.10	Facility		$4.99	$9.44	$24.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.87 / $8.61 / $11.91	Professional		$4.87	$8.61	$11.91
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $6.40 / $7.20 / $11.52	Professional		$6.40	$7.20	$11.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.76 / $7.20 / $15.00	Professional		$5.76	$7.20	$15.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $60.00 / $100.00	Facility		$50.00	$60.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $8.56 / $13.43	Professional		$5.50	$8.56	$13.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.32 / $4.32 / $4.32	Professional		$4.32	$4.32	$4.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.98 / $8.33 / $19.50	Facility		$5.98	$8.33	$19.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.33 / $7.74 / $14.40	Professional		$5.33	$7.74	$14.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $25.27 / $25.27	Professional		$25.27	$25.27	$25.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $5.76 / $7.20 / $10.08	Professional		$5.76	$7.20	$10.08
United Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $4.28 / $13.83	Professional		$3.02	$4.28	$13.83