Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.19 / $37.92 / $26,812.30	Facility		$17.19	$37.92	$26,812.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $21.44 / $20,832.00	Professional		$17.02	$21.44	$20,832.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $19.48 / $20.27	Professional		$19.48	$19.48	$20.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $27.19 / $66.69	Facility		$18.05	$27.19	$66.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.89 / $17.53 / $35.34	Professional		$16.89	$17.53	$35.34
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $16.57 / $18.52 / $37.33	Facility		$16.57	$18.52	$37.33
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $17.87 / $38.86	Professional		$17.02	$17.87	$38.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.05 / $16.05 / $17.02	Facility		$16.05	$16.05	$17.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $17.02 / $19.48	Professional		$17.02	$17.02	$19.48
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $16.19 / $16.23 / $21.86	Professional		$16.19	$16.23	$21.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $20.42 / $37.44	Professional		$15.32	$20.42	$37.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $85.10 / $100.00	Facility		$75.00	$85.10	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,929.21 / $4,929.21 / $4,929.21	Professional		$4,929.21	$4,929.21	$4,929.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.19 / $33.18 / $60.00	Professional		$16.19	$33.18	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.02 / $17.19 / $28.45	Facility		$17.02	$17.19	$28.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $17.02 / $20.23	Professional		$17.02	$17.02	$20.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $23.04 / $23.04 / $23.04	Professional		$23.04	$23.04	$23.04
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $13.61 / $17.02 / $25.53	Professional		$13.61	$17.02	$25.53
United Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $17.47 / $30.38	Professional		$17.02	$17.47	$30.38