Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $63.10 / $141.25	Facility		$13.49	$63.10	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.80 / $83.18	Professional		$10.00	$13.80	$83.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $8.32 / $19.95	Professional		$6.31	$8.32	$19.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $29.51 / $63.10	Facility		$7.24	$29.51	$63.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $10.72 / $37.15	Professional		$6.17	$10.72	$37.15
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $75.86 / $169.82	Facility		$28.18	$75.86	$169.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.45 / $36.31	Professional		$10.00	$14.45	$36.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $20.89 / $45.71	Facility		$8.51	$20.89	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $12.59 / $20.89	Professional		$7.59	$12.59	$20.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.59 / $19.95	Professional		$10.96	$12.59	$19.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.59 / $27.54	Professional		$10.00	$12.59	$27.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $100.00	Facility		$72.44	$72.44	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $12.02 / $22.39	Professional		$10.72	$12.02	$22.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $15.14 / $15.14	Professional		$7.59	$15.14	$15.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $15.14 / $37.15	Facility		$10.47	$15.14	$37.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $11.75 / $28.84	Professional		$7.59	$11.75	$28.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $21.38	Professional		$10.00	$12.88	$21.38
United Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $8.71 / $12.59	Facility		$5.62	$8.71	$12.59
United Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $7.59 / $25.12	Professional		$5.25	$7.59	$25.12