Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.30 / $22.03 / $96.75	Facility		$6.30	$22.03	$96.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $8.67 / $25.05	Professional		$8.15	$8.67	$25.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $5.75 / $5.75	Professional		$4.79	$5.75	$5.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.50 / $23.11 / $293.00	Facility		$10.50	$23.11	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.73 / $7.54 / $24.55	Professional		$4.73	$7.54	$24.55
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $24.81 / $69.12 / $124.34	Facility		$24.81	$69.12	$124.34
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $5.94 / $8.48 / $45.98	Professional		$5.94	$8.48	$45.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.63 / $12.58 / $32.08	Facility		$6.63	$12.58	$32.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.26 / $11.20 / $16.01	Professional		$6.26	$11.20	$16.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $9.58 / $15.33	Professional		$8.44	$9.58	$15.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7.66 / $9.58 / $21.71	Professional		$7.66	$9.58	$21.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $62.90 / $68.00	Facility		$60.00	$62.90	$68.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $11.98 / $18.41	Professional		$8.61	$11.98	$18.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $5.75 / $5.75	Professional		$5.75	$5.75	$5.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.95 / $11.45 / $27.36	Facility		$7.95	$11.45	$27.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.26 / $9.02 / $19.16	Professional		$6.26	$9.02	$19.16
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $33.61 / $33.61 / $33.61	Professional		$33.61	$33.61	$33.61
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $7.66 / $9.58 / $13.41	Professional		$7.66	$9.58	$13.41
United Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $5.70 / $18.39	Professional		$4.01	$5.70	$18.39