Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.50 / $13.30 / $82.37	Facility		$11.50	$13.30	$82.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.45 / $13.35 / $34.43	Professional		$11.45	$13.35	$34.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $12.78 / $14.43	Professional		$9.91	$12.78	$14.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.35 / $0.41 / $0.46	Facility		$0.35	$0.41	$0.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.39 / $0.66 / $31.83	Professional		$0.39	$0.66	$31.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $9.40 / $13.02 / $33.29	Professional		$9.40	$13.02	$33.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.14 / $19.14 / $19.14	Facility		$19.14	$19.14	$19.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.98 / $17.57 / $38.52	Professional		$12.98	$17.57	$38.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $11.90 / $14.38 / $18.44	Professional		$11.90	$14.38	$18.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.67 / $15.17 / $27.39	Professional		$11.67	$15.17	$27.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $139.38 / $147.47	Facility		$80.00	$139.38	$147.47
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $199.96 / $199.96 / $199.96	Professional		$199.96	$199.96	$199.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Optum Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $12.68 / $15.00	Professional		$10.73	$12.68	$15.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.90 / $15.85 / $22.17	Facility		$11.90	$15.85	$22.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $20.49 / $35.28	Professional		$13.63	$20.49	$35.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $10.79 / $13.93 / $45.72	Professional		$10.79	$13.93	$45.72
United Facility/Professional Facility Modifier Low / Median / High Price $14.93 / $14.93 / $14.93	Facility		$14.93	$14.93	$14.93
United Facility/Professional Professional Modifier Low / Median / High Price $10.66 / $14.40 / $32.74	Professional		$10.66	$14.40	$32.74