Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.79 / $48.45 / $149.57	Facility		$10.79	$48.45	$149.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.83 / $13.24 / $19.02	Professional		$9.83	$13.24	$19.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $8.86 / $10.27	Professional		$8.86	$8.86	$10.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.19 / $35.65 / $293.00	Facility		$16.19	$35.65	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.30 / $11.65 / $34.40	Professional		$7.30	$11.65	$34.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $38.28 / $85.00 / $190.07	Facility		$38.28	$85.00	$190.07
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $9.16 / $13.09 / $70.94	Professional		$9.16	$13.09	$70.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $19.41 / $49.49	Facility		$10.23	$19.41	$49.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.74 / $17.86 / $26.50	Professional		$9.74	$17.86	$26.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $13.14 / $14.78 / $23.65	Professional		$13.14	$14.78	$23.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.82 / $14.78 / $32.22	Professional		$11.82	$14.78	$32.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $70.77 / $100.00	Facility		$50.00	$70.77	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $8.86 / $8.86	Professional		$8.86	$8.86	$8.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.26 / $17.11 / $39.00	Facility		$12.26	$17.11	$39.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.76 / $14.78 / $29.56	Professional		$9.76	$14.78	$29.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $51.87 / $51.87 / $51.87	Professional		$51.87	$51.87	$51.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $11.82 / $14.78 / $20.69	Professional		$11.82	$14.78	$20.69
United Facility/Professional Professional Modifier Low / Median / High Price $6.21 / $8.68 / $25.83	Professional		$6.21	$8.68	$25.83