Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.48 / $7.89 / $230.51	Facility		$3.48	$7.89	$230.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $3.62 / $71.95	Professional		$3.45	$3.62	$71.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $3.82 / $3.82	Professional		$3.45	$3.82	$3.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.56 / $4.13 / $4.97	Facility		$3.56	$4.13	$4.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $3.96 / $13.86	Professional		$3.45	$3.96	$13.86
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $6.12 / $6.48 / $11.29	Facility		$6.12	$6.48	$11.29
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $5.04 / $5.29 / $12.90	Professional		$5.04	$5.29	$12.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.25 / $3.25 / $3.45	Facility		$3.25	$3.25	$3.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $3.45 / $4.88	Professional		$3.45	$3.45	$4.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.50 / $5.63	Professional		$4.17	$4.50	$5.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $4.13 / $8.00	Professional		$3.11	$4.13	$8.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $339.83 / $339.83	Facility		$75.00	$339.83	$339.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $111.13 / $111.13 / $111.13	Professional		$111.13	$111.13	$111.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $8.54 / $60.00	Professional		$4.17	$8.54	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.45 / $4.16 / $9.14	Facility		$3.45	$4.16	$9.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $3.45 / $5.63	Professional		$3.45	$3.45	$5.63
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7.93 / $7.93 / $7.93	Professional		$7.93	$7.93	$7.93
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2.76 / $3.45 / $5.17	Professional		$2.76	$3.45	$5.17
United Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $3.52 / $7.00	Professional		$3.45	$3.52	$7.00