Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.87 / $93.92 / $468.00	Facility		$16.87	$93.92	$468.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.91 / $20.01 / $176.00	Professional		$12.91	$20.01	$176.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.71 / $26.38 / $31.02	Professional		$21.71	$26.38	$31.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.71 / $17.07 / $19.26	Facility		$14.71	$17.07	$19.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $19.27 / $43.72	Professional		$15.00	$19.27	$43.72
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $26.61 / $33.45 / $53.57	Facility		$26.61	$33.45	$53.57
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $23.71 / $56.56	Professional		$17.78	$23.71	$56.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.71 / $17.71 / $17.71	Facility		$17.71	$17.71	$17.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.99 / $13.99 / $13.99	Professional		$13.99	$13.99	$13.99
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $12.26 / $18.57 / $25.08	Professional		$12.26	$18.57	$25.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.08 / $19.91 / $38.22	Professional		$15.08	$19.91	$38.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $29.82 / $138.41 / $138.41	Facility		$29.82	$138.41	$138.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $128.03 / $164.18 / $168.68	Professional		$128.03	$164.18	$168.68
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 $14.95 / $20.11 / $30.09	Facility		$14.95	$20.11	$30.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.99 / $13.99 / $39.36	Professional		$13.99	$13.99	$39.36
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $51.08 / $51.08 / $51.08	Professional		$51.08	$51.08	$51.08
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $15.02 / $20.66	Professional		$13.00	$15.02	$20.66
United Facility/Professional Professional Modifier Low / Median / High Price $11.44 / $15.93 / $36.84	Professional		$11.44	$15.93	$36.84