Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.75 / $34.85 / $41.00	Facility		$30.75	$34.85	$41.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.26 / $35.44 / $58.71	Professional		$24.26	$35.44	$58.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.37 / $28.37 / $28.37	Professional		$28.37	$28.37	$28.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.97 / $40.82 / $40.82	Facility		$37.97	$40.82	$40.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.02 / $39.24 / $66.27	Professional		$24.02	$39.24	$66.27
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.93 / $79.08 / $130.87	Facility		$65.93	$79.08	$130.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $31.36 / $44.80 / $67.70	Professional		$31.36	$44.80	$67.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Facility		$50.00	$50.00	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.76 / $40.00 / $70.95	Professional		$28.76	$40.00	$70.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $31.85 / $38.22 / $52.50	Professional		$31.85	$38.22	$52.50
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $38.79 / $38.79 / $38.79	Professional		$38.79	$38.79	$38.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.82 / $36.25 / $58.70	Professional		$25.82	$36.25	$58.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $137.78 / $150.19 / $150.19	Facility		$137.78	$150.19	$150.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $237.00 / $243.90 / $314.55	Professional		$237.00	$243.90	$314.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $53.46 / $53.94	Professional		$32.34	$53.46	$53.94
Optum Facility/Professional Professional Modifier Low / Median / High Price $31.30 / $41.47 / $74.34	Professional		$31.30	$41.47	$74.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.38 / $42.23 / $63.93	Facility		$30.38	$42.23	$63.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.96 / $47.00 / $99.00	Professional		$29.96	$47.00	$99.00
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $42.00 / $50.00 / $80.00	Facility		$42.00	$50.00	$80.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $30.76 / $42.87 / $82.98	Professional		$30.76	$42.87	$82.98
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $31.09 / $37.99 / $50.75	Professional		$31.09	$37.99	$50.75
United Facility/Professional Facility Modifier Low / Median / High Price $43.26 / $43.26 / $43.26	Facility		$43.26	$43.26	$43.26
United Facility/Professional Professional Modifier Low / Median / High Price $28.56 / $41.18 / $100.47	Professional		$28.56	$41.18	$100.47