Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.57 / $146.19 / $216.98	Facility		$22.57	$146.19	$216.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.20 / $16.71 / $46.80	Professional		$12.20	$16.71	$46.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.55 / $11.15 / $16.72	Professional		$8.55	$11.15	$16.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.36 / $44.81 / $293.00	Facility		$20.36	$44.81	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.18 / $14.64 / $43.25	Professional		$9.18	$14.64	$43.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $45.19 / $87.80 / $244.38	Facility		$45.19	$87.80	$244.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $11.52 / $16.45 / $53.33	Professional		$11.52	$16.45	$53.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.87 / $24.40 / $64.11	Facility		$12.87	$24.40	$64.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.75 / $22.72 / $32.28	Professional		$13.75	$22.72	$32.28
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $16.41 / $18.57 / $29.73	Professional		$16.41	$18.57	$29.73
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $104.76 / $104.76 / $104.76	Professional		$104.76	$104.76	$104.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.86 / $18.59 / $40.88	Professional		$14.86	$18.59	$40.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $88.44 / $100.00	Facility		$72.00	$88.44	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16.72 / $22.17 / $35.32	Professional		$16.72	$22.17	$35.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $11.15 / $11.15	Professional		$11.15	$11.15	$11.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.23 / $21.70 / $53.11	Facility		$15.23	$21.70	$53.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $20.64 / $37.15	Professional		$13.76	$20.64	$37.15
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $65.20 / $65.20 / $65.20	Professional		$65.20	$65.20	$65.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.86 / $18.57 / $26.01	Professional		$14.86	$18.57	$26.01
United Facility/Professional Professional Modifier Low / Median / High Price $7.80 / $11.05 / $35.69	Professional		$7.80	$11.05	$35.69