Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $79.43 / $407.38	Facility		$7.76	$79.43	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.55 / $19.05	Professional		$2.00	$3.55	$19.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $1.78 / $4.79	Professional		$1.45	$1.78	$4.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.74 / $6.92 / $15.14	Facility		$1.74	$6.92	$15.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $2.57 / $8.71	Professional		$1.48	$2.57	$8.71
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $29.51 / $162.18	Facility		$11.22	$29.51	$162.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $3.39 / $8.51	Professional		$2.40	$3.39	$8.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $5.01 / $10.96	Facility		$2.04	$5.01	$10.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $3.02 / $4.90	Professional		$1.74	$3.02	$4.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $3.02 / $4.79	Professional		$2.40	$3.02	$4.79
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $3.02 / $6.61	Professional		$2.40	$3.02	$6.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $3.89 / $14.13	Professional		$2.51	$3.89	$14.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $3.63 / $3.63	Professional		$1.78	$3.63	$3.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $3.63 / $9.77	Facility		$2.45	$3.63	$9.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $2.75 / $6.61	Professional		$1.74	$2.75	$6.61
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $10.47	Professional		$10.47	$10.47	$10.47
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $3.02 / $5.13	Professional		$2.40	$3.02	$5.13
United Facility/Professional Facility Modifier Low / Median / High Price $1.51 / $2.04 / $257.04	Facility		$1.51	$2.04	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.78 / $6.03	Professional		$1.26	$1.78	$6.03