Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.65 / $23.87 / $6,476.80	Facility		$10.65	$23.87	$6,476.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.65 / $1,429.00	Professional		$10.54	$10.65	$1,429.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.12 / $15.76 / $23.63	Professional		$12.12	$15.76	$23.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.21 / $16.84 / $37.74	Facility		$11.21	$16.84	$37.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $12.58 / $26.66	Professional		$10.54	$12.58	$26.66
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $14.81 / $16.09 / $29.01	Facility		$14.81	$16.09	$29.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $11.28 / $28.28	Professional		$10.74	$11.28	$28.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $9.94 / $10.54	Facility		$9.94	$9.94	$10.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.54 / $14.92	Professional		$10.54	$10.54	$14.92
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $13.06 / $13.54 / $18.27	Professional		$13.06	$13.54	$18.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.49 / $12.65 / $23.89	Professional		$9.49	$12.65	$23.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $100.00 / $100.00	Facility		$75.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,253.85 / $1,253.85 / $1,253.85	Professional		$1,253.85	$1,253.85	$1,253.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $27.75 / $60.00	Professional		$13.54	$27.75	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.54 / $11.17 / $18.18	Facility		$10.54	$11.17	$18.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.54 / $18.48	Professional		$10.54	$10.54	$18.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $23.67 / $23.67 / $23.67	Professional		$23.67	$23.67	$23.67
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $8.43 / $10.54 / $15.81	Professional		$8.43	$10.54	$15.81
United Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.54 / $20.43	Professional		$10.54	$10.54	$20.43