Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.37 / $17.93 / $147.16	Facility		$7.37	$17.93	$147.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.37 / $13.83 / $28.78	Professional		$7.37	$13.83	$28.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.82 / $25.82 / $25.82	Professional		$25.82	$25.82	$25.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.40 / $10.91 / $12.31	Facility		$9.40	$10.91	$12.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.66 / $21.18 / $39.50	Professional		$9.66	$21.18	$39.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $9.78 / $22.97 / $45.43	Professional		$9.78	$22.97	$45.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.66 / $643.00 / $5,662.00	Facility		$11.66	$643.00	$5,662.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.83 / $20.83 / $20.83	Professional		$20.83	$20.83	$20.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $15.50 / $40.35	Professional		$9.69	$15.50	$40.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.67 / $22.92 / $44.18	Professional		$8.67	$22.92	$44.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $43.50 / $50.00 / $50.00	Facility		$43.50	$50.00	$50.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $82.48 / $146.43 / $194.78	Professional		$82.48	$146.43	$194.78
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 $8.82 / $18.73 / $36.25	Facility		$8.82	$18.73	$36.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.28 / $20.83 / $55.39	Professional		$20.28	$20.83	$55.39
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $28.64 / $28.64 / $75.52	Professional		$28.64	$28.64	$75.52
United Facility/Professional Professional Modifier Low / Median / High Price $16.29 / $22.40 / $55.65	Professional		$16.29	$22.40	$55.65