Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.41 / $61.69 / $237.37	Facility		$14.41	$61.69	$237.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $22.25 / $43.82	Professional		$16.98	$22.25	$43.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $15.32 / $17.73	Professional		$15.32	$15.32	$17.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.97 / $61.58 / $293.00	Facility		$27.97	$61.58	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.61 / $20.11 / $55.35	Professional		$12.61	$20.11	$55.35
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $92.60 / $324.95	Facility		$53.00	$92.60	$324.95
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15.83 / $22.61 / $73.26	Professional		$15.83	$22.61	$73.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.67 / $33.51 / $85.44	Facility		$17.67	$33.51	$85.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $30.51 / $42.30	Professional		$16.93	$30.51	$42.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $22.69 / $25.53 / $40.85	Professional		$22.69	$25.53	$40.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.53 / $57.86	Professional		$20.42	$25.53	$57.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $133.22 / $169.40 / $169.40	Facility		$133.22	$169.40	$169.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $15.32 / $15.32	Professional		$15.32	$15.32	$15.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.18 / $29.36 / $70.20	Facility		$21.18	$29.36	$70.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $25.53 / $51.06	Professional		$16.93	$25.53	$51.06
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $89.61 / $89.61 / $89.61	Professional		$89.61	$89.61	$89.61
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.53 / $35.74	Professional		$20.42	$25.53	$35.74
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $15.19 / $49.04	Professional		$10.72	$15.19	$49.04