Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.05 / $49.11 / $110.25	Facility		$13.05	$49.11	$110.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $14.40 / $40.03	Professional		$9.69	$14.40	$40.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.90 / $10.90 / $11.59	Professional		$10.90	$10.90	$11.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.83 / $92.65 / $385.82	Facility		$74.83	$92.65	$385.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.67 / $11.89 / $71.02	Professional		$2.67	$11.89	$71.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $20.70 / $55.64 / $85.39	Facility		$20.70	$55.64	$85.39
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $8.92 / $12.52 / $23.69	Professional		$8.92	$12.52	$23.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $85.00 / $315.00	Facility		$72.00	$85.00	$315.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.91 / $24.95 / $104.01	Professional		$10.91	$24.95	$104.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $11.14 / $16.71	Professional		$8.91	$11.14	$16.71
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $14.83 / $14.83 / $14.83	Professional		$14.83	$14.83	$14.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.98 / $13.68 / $31.12	Professional		$11.98	$13.68	$31.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $25.63 / $80.00 / $100.00	Facility		$25.63	$80.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $79.15 / $104.25	Professional		$16.14	$79.15	$104.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $17.44 / $95.00	Professional		$12.25	$17.44	$95.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $85.00 / $315.00	Facility		$72.00	$85.00	$315.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.61 / $30.14 / $105.33	Professional		$11.61	$30.14	$105.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $12.29 / $16.89 / $28.77	Professional		$12.29	$16.89	$28.77
United Facility/Professional Professional Modifier Low / Median / High Price $11.84 / $14.80 / $39.63	Professional		$11.84	$14.80	$39.63