Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.35 / $168.57 / $399.00	Facility		$38.35	$168.57	$399.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $14.97 / $36.83	Professional		$8.26	$14.97	$36.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.73 / $10.08 / $15.12	Professional		$7.73	$10.08	$15.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.41 / $40.52 / $293.00	Facility		$18.41	$40.52	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.30 / $13.23 / $38.50	Professional		$8.30	$13.23	$38.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $43.51 / $87.20 / $220.85	Facility		$43.51	$87.20	$220.85
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.42 / $14.88 / $58.06	Professional		$10.42	$14.88	$58.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.62 / $22.06 / $58.01	Facility		$11.62	$22.06	$58.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $20.65 / $29.00	Professional		$12.39	$20.65	$29.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $14.76 / $16.80 / $26.88	Professional		$14.76	$16.80	$26.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.44 / $16.80 / $37.47	Professional		$13.44	$16.80	$37.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $80.19 / $100.00	Facility		$60.00	$80.19	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17.60 / $22.98 / $52.00	Professional		$17.60	$22.98	$52.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.72 / $20.16 / $48.03	Facility		$13.72	$20.16	$48.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.45 / $18.61 / $33.60	Professional		$12.45	$18.61	$33.60
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $58.96 / $58.96 / $58.96	Professional		$58.96	$58.96	$58.96
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $13.44 / $16.80 / $23.52	Professional		$13.44	$16.80	$23.52
United Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Facility		$60.00	$60.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.06 / $9.86 / $33.56	Professional		$7.06	$9.86	$33.56