Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $70.79 / $181.97	Facility		$15.85	$70.79	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $11.48 / $60.26	Professional		$7.59	$11.48	$60.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $5.89 / $9.77	Professional		$4.17	$5.89	$9.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $22.39 / $48.98	Facility		$8.32	$22.39	$48.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $8.51 / $27.54	Professional		$4.79	$8.51	$27.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $64.57 / $131.83	Facility		$21.88	$64.57	$131.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $10.96 / $28.18	Professional		$7.76	$10.96	$28.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $16.60 / $40.74	Facility		$6.76	$16.60	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $9.77 / $15.85	Professional		$6.17	$9.77	$15.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $9.77 / $15.49	Professional		$8.51	$9.77	$15.49
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $9.77 / $21.88	Professional		$7.76	$9.77	$21.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $100.00	Facility		$60.26	$60.26	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $13.80 / $32.36	Professional		$8.32	$13.80	$32.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $11.75	Professional		$11.75	$11.75	$11.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $11.75 / $28.84	Facility		$7.94	$11.75	$28.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $9.12 / $22.39	Professional		$5.75	$9.12	$22.39
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $10.00 / $16.60	Professional		$7.76	$10.00	$16.60
United Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $5.89 / $9.77	Facility		$4.07	$5.89	$9.77
United Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $5.89 / $19.50	Professional		$4.07	$5.89	$19.50