Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.63 / $6.63 / $36.78	Facility		$6.63	$6.63	$36.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.94 / $6.63 / $36.78	Professional		$4.94	$6.63	$36.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.28 / $8.28 / $10.19	Professional		$8.28	$8.28	$10.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.03 / $18.39 / $40.47	Facility		$5.03	$18.39	$40.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.39 / $6.68 / $10.28	Professional		$5.39	$6.68	$10.28
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $13.10 / $18.45 / $27.45	Facility		$13.10	$18.45	$27.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $6.89 / $27.36 / $47.93	Professional		$6.89	$27.36	$47.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.96 / $7.14 / $7.14	Facility		$5.96	$7.14	$7.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.21 / $5.21 / $12.75	Professional		$5.21	$5.21	$12.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $5.22 / $6.26 / $14.03	Professional		$5.22	$6.26	$14.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $8.93 / $19.76	Professional		$7.65	$8.93	$19.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $73.36 / $73.36 / $82.88	Professional		$73.36	$73.36	$82.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.87 / $25.87 / $25.87	Professional		$25.87	$25.87	$25.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.56 / $11.06 / $12.92	Facility		$3.56	$11.06	$12.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.21 / $5.21 / $14.02	Professional		$5.21	$5.21	$14.02
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $24.06 / $24.06 / $24.06	Professional		$24.06	$24.06	$24.06
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $5.22 / $8.86 / $10.19	Professional		$5.22	$8.86	$10.19
United Facility/Professional Facility Modifier Low / Median / High Price $3.51 / $7.28 / $8.49	Facility		$3.51	$7.28	$8.49
United Facility/Professional Professional Modifier Low / Median / High Price $5.19 / $6.29 / $12.75	Professional		$5.19	$6.29	$12.75