Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.42 / $66.25 / $140.56	Facility		$12.42	$66.25	$140.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $10.27 / $19.23	Professional		$8.74	$10.27	$19.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $7.06 / $13.48	Professional		$5.89	$7.06	$13.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.90 / $28.39 / $293.00	Facility		$12.90	$28.39	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.82 / $9.27 / $27.31	Professional		$5.82	$9.27	$27.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $30.48 / $77.09 / $152.88	Facility		$30.48	$77.09	$152.88
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $7.30 / $10.43 / $56.50	Professional		$7.30	$10.43	$56.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.15 / $15.45 / $39.40	Facility		$8.15	$15.45	$39.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.64 / $14.35 / $21.08	Professional		$7.64	$14.35	$21.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10.37 / $11.77 / $18.82	Professional		$10.37	$11.77	$18.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.42 / $11.77 / $26.25	Professional		$9.42	$11.77	$26.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $60.00 / $60.00	Facility		$50.00	$60.00	$60.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.06 / $7.06 / $7.06	Professional		$7.06	$7.06	$7.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.76 / $14.08 / $38.42	Facility		$9.76	$14.08	$38.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.88 / $11.77 / $23.54	Professional		$7.88	$11.77	$23.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $41.31 / $41.31 / $41.31	Professional		$41.31	$41.31	$41.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $9.42 / $11.77 / $16.48	Professional		$9.42	$11.77	$16.48
United Facility/Professional Professional Modifier Low / Median / High Price $4.94 / $7.06 / $23.51	Professional		$4.94	$7.06	$23.51