Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $58.88 / $117.49	Facility		$16.98	$58.88	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.02 / $39.81	Professional		$7.94	$12.02	$39.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $5.75 / $6.92	Professional		$5.75	$5.75	$6.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $26.92 / $57.54	Facility		$5.89	$26.92	$57.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $8.91 / $28.84	Professional		$5.01	$8.91	$28.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $64.57 / $138.04	Facility		$25.70	$64.57	$138.04
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $11.48 / $33.11	Professional		$8.13	$11.48	$33.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $19.50 / $41.69	Facility		$7.76	$19.50	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $10.23 / $17.38	Professional		$6.17	$10.23	$17.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $11.48 / $18.62	Professional		$9.33	$11.48	$18.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $11.48 / $25.70	Professional		$9.33	$11.48	$25.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $100.00	Facility		$60.26	$60.26	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $13.80 / $13.80	Professional		$6.92	$13.80	$13.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $13.49 / $30.20	Facility		$8.71	$13.49	$30.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $10.23 / $23.99	Professional		$6.17	$10.23	$23.99
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Professional		$40.74	$40.74	$40.74
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $11.75 / $19.50	Professional		$9.33	$11.75	$19.50
United Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $6.92 / $11.48	Facility		$5.25	$6.92	$11.48
United Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $8.71 / $20.89	Professional		$6.92	$8.71	$20.89