Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.34 / $16.63 / $17.03	Facility		$16.34	$16.63	$17.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $17.03 / $33.82	Professional		$13.79	$17.03	$33.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $115.00 / $115.00 / $115.00	Professional		$115.00	$115.00	$115.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.01 / $34.42 / $34.42	Facility		$32.01	$34.42	$34.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.37 / $30.16 / $55.80	Professional		$15.37	$30.16	$55.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $37.65 / $57.07 / $57.07	Facility		$37.65	$57.07	$57.07
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $18.84 / $25.78 / $40.47	Professional		$18.84	$25.78	$40.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.83 / $25.01 / $70.67	Professional		$15.83	$25.01	$70.67
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $20.78 / $25.08 / $33.25	Professional		$20.78	$25.08	$33.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.45 / $22.34 / $35.49	Professional		$17.45	$22.34	$35.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $99.92 / $108.63 / $108.63	Facility		$99.92	$108.63	$108.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $142.72 / $175.65 / $178.43	Professional		$142.72	$175.65	$178.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.14 / $21.23 / $29.87	Facility		$16.14	$21.23	$29.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $29.15 / $63.49	Professional		$16.30	$29.15	$63.49
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $76.92 / $76.92 / $78.12	Professional		$76.92	$76.92	$78.12
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $20.28 / $22.82 / $27.89	Professional		$20.28	$22.82	$27.89
United Facility/Professional Facility Modifier Low / Median / High Price $25.65 / $25.65 / $25.65	Facility		$25.65	$25.65	$25.65
United Facility/Professional Professional Modifier Low / Median / High Price $20.39 / $24.54 / $84.84	Professional		$20.39	$24.54	$84.84