Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $2.63 / $25.92	Facility		$2.40	$2.63	$25.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $3.91 / $28.80	Professional		$2.49	$3.91	$28.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.83 / $5.83 / $5.83	Professional		$5.83	$5.83	$5.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.47 / $2.98 / $7.88	Facility		$2.47	$2.98	$7.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $3.44 / $7.31	Professional		$3.44	$3.44	$7.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $9.44 / $12.26 / $18.95	Facility		$9.44	$12.26	$18.95
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $19.27 / $33.72	Professional		$4.86	$19.27	$33.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $5.40 / $11.90	Facility		$2.88	$5.40	$11.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $4.59 / $5.81	Professional		$4.59	$4.59	$5.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $7.18 / $8.97 / $10.76	Professional		$7.18	$8.97	$10.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.38 / $6.28 / $13.90	Professional		$5.38	$6.28	$13.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $80.00 / $80.00	Facility		$75.00	$80.00	$80.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $61.61 / $63.09 / $565.54	Professional		$61.61	$63.09	$565.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.46 / $7.92 / $9.42	Facility		$2.46	$7.92	$9.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $5.40 / $8.19	Professional		$4.59	$5.40	$8.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $16.95 / $16.95 / $16.95	Professional		$16.95	$16.95	$16.95
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $4.24 / $7.18	Professional		$2.63	$4.24	$7.18
United Facility/Professional Professional Modifier Low / Median / High Price $3.42 / $3.81 / $8.98	Professional		$3.42	$3.81	$8.98