Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $51.72 / $187.15	Facility		$20.42	$51.72	$187.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.51 / $17.55 / $65.84	Professional		$14.51	$17.55	$65.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.61 / $11.61 / $11.61	Professional		$11.61	$11.61	$11.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.20 / $46.67 / $293.00	Facility		$21.20	$46.67	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.56 / $15.25 / $46.70	Professional		$9.56	$15.25	$46.70
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $45.10 / $87.40 / $246.43	Facility		$45.10	$87.40	$246.43
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $17.14 / $66.90	Professional		$12.00	$17.14	$66.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.40 / $25.41 / $64.79	Facility		$13.40	$25.41	$64.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.73 / $23.54 / $34.33	Professional		$12.73	$23.54	$34.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $17.20 / $19.35 / $30.96	Professional		$17.20	$19.35	$30.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.48 / $19.35 / $43.16	Professional		$15.48	$19.35	$43.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $99.00 / $99.00	Facility		$55.00	$99.00	$99.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.61 / $11.61 / $11.61	Professional		$11.61	$11.61	$11.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.05 / $22.25 / $52.00	Facility		$16.05	$22.25	$52.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.75 / $19.35 / $38.70	Professional		$12.75	$19.35	$38.70
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $67.91 / $67.91 / $67.91	Professional		$67.91	$67.91	$67.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $15.48 / $17.54 / $24.08	Professional		$15.48	$17.54	$24.08
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $11.51 / $37.17	Professional		$8.13	$11.51	$37.17