Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.26 / $56.68 / $140.93	Facility		$13.26	$56.68	$140.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.28 / $11.96 / $68.15	Professional		$8.28	$11.96	$68.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.54 / $7.54 / $7.54	Professional		$7.54	$7.54	$7.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.76 / $30.29 / $293.00	Facility		$13.76	$30.29	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.20 / $9.90 / $29.25	Professional		$6.20	$9.90	$29.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $32.53 / $79.13 / $163.21	Facility		$32.53	$79.13	$163.21
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $7.78 / $11.12 / $60.29	Professional		$7.78	$11.12	$60.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $16.48 / $43.70	Facility		$8.71	$16.48	$43.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $15.28 / $22.29	Professional		$8.27	$15.28	$22.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $11.17 / $12.56 / $20.10	Professional		$11.17	$12.56	$20.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.05 / $12.56 / $28.46	Professional		$10.05	$12.56	$28.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $77.00 / $97.75	Facility		$55.00	$77.00	$97.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.28 / $6.28 / $6.28	Professional		$6.28	$6.28	$6.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.41 / $15.07 / $36.01	Facility		$10.41	$15.07	$36.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.35 / $12.56 / $25.12	Professional		$8.35	$12.56	$25.12
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $44.08 / $44.08 / $44.08	Professional		$44.08	$44.08	$44.08
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.05 / $12.56 / $17.57	Professional		$10.05	$12.56	$17.57
United Facility/Professional Professional Modifier Low / Median / High Price $5.28 / $7.48 / $24.30	Professional		$5.28	$7.48	$24.30