Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $39.81 / $123.03	Facility		$13.80	$39.81	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.96 / $43.65	Professional		$7.94	$10.96	$43.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $8.13 / $8.51	Professional		$7.41	$8.13	$8.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $28.84 / $61.66	Facility		$7.08	$28.84	$61.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $10.47 / $36.31	Professional		$6.03	$10.47	$36.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $74.13 / $165.96	Facility		$27.54	$74.13	$165.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $14.13 / $35.48	Professional		$9.77	$14.13	$35.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $20.42 / $44.67	Facility		$8.13	$20.42	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $12.30 / $20.42	Professional		$7.41	$12.30	$20.42
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.30 / $19.50	Professional		$10.96	$12.30	$19.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $12.30 / $27.54	Professional		$9.77	$12.30	$27.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $91.20 / $91.20	Facility		$79.43	$91.20	$91.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $14.79 / $14.79	Professional		$7.41	$14.79	$14.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $14.79 / $36.31	Facility		$10.23	$14.79	$36.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $11.48 / $28.18	Professional		$7.41	$11.48	$28.18
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Professional		$42.66	$42.66	$42.66
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $12.59 / $20.89	Professional		$9.77	$12.59	$20.89
United Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $7.41 / $12.30	Facility		$5.50	$7.41	$12.30
United Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $7.41 / $24.55	Professional		$5.13	$7.41	$24.55