Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.96 / $53.21 / $255.37	Facility		$16.96	$53.21	$255.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.53 / $28.60 / $92.77	Professional		$17.53	$28.60	$92.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.10 / $20.51 / $21.91	Professional		$17.10	$20.51	$21.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.46 / $82.47 / $312.00	Facility		$37.46	$82.47	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.58 / $24.85 / $70.08	Professional		$15.58	$24.85	$70.08
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $56.80 / $96.42 / $401.57	Facility		$56.80	$96.42	$401.57
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $27.94 / $91.75	Professional		$19.55	$27.94	$91.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.22 / $44.88 / $114.43	Facility		$22.22	$44.88	$114.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.72 / $41.71 / $52.14	Professional		$22.72	$41.71	$52.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $28.05 / $34.19 / $54.70	Professional		$28.05	$34.19	$54.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.35 / $34.19 / $74.53	Professional		$27.35	$34.19	$74.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $162.40 / $162.40	Facility		$80.00	$162.40	$162.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $30.77 / $42.74 / $60.55	Professional		$30.77	$42.74	$60.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $20.51 / $20.51	Professional		$20.51	$20.51	$20.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.17 / $35.47 / $86.66	Facility		$26.17	$35.47	$86.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.17 / $34.19 / $67.94	Professional		$23.17	$34.19	$67.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $120.00 / $120.00	Professional		$120.00	$120.00	$120.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $27.35 / $30.77 / $39.27	Professional		$27.35	$30.77	$39.27
United Facility/Professional Professional Modifier Low / Median / High Price $14.36 / $18.98 / $62.09	Professional		$14.36	$18.98	$62.09