Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.15 / $13.16 / $57.80	Facility		$8.15	$13.16	$57.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.09 / $8.23 / $15.70	Professional		$7.09	$8.23	$15.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $8.15 / $8.15	Professional		$8.15	$8.15	$8.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.68 / $13.02 / $29.18	Facility		$6.68	$13.02	$29.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.86 / $8.15 / $40.94	Professional		$5.86	$8.15	$40.94
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $33.79 / $34.36 / $78.14	Facility		$33.79	$34.36	$78.14
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $8.31 / $8.73 / $26.04	Professional		$8.31	$8.73	$26.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.69 / $7.69 / $8.15	Facility		$7.69	$7.69	$8.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $8.15 / $11.54	Professional		$8.15	$8.15	$11.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $4.79 / $6.32	Professional		$4.68	$4.79	$6.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7.34 / $9.77 / $21.76	Professional		$7.34	$9.77	$21.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $81.44 / $547.94 / $608.45	Facility		$81.44	$547.94	$608.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,072.56 / $7,072.56 / $7,072.56	Professional		$7,072.56	$7,072.56	$7,072.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $9.59 / $60.00	Professional		$4.68	$9.59	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.15 / $9.00 / $54.64	Facility		$8.15	$9.00	$54.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $8.15 / $23.13	Professional		$8.15	$8.15	$23.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $39.27 / $39.27 / $39.27	Professional		$39.27	$39.27	$39.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $6.52 / $8.15 / $12.23	Professional		$6.52	$8.15	$12.23
United Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $8.23 / $16.63	Professional		$8.15	$8.23	$16.63