Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.02 / $17.02 / $70.16	Facility		$17.02	$17.02	$70.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.01 / $23.83 / $70.16	Professional		$17.01	$23.83	$70.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $21.88 / $39.38	Professional		$18.23	$21.88	$39.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.56 / $10.19 / $17.23	Facility		$8.56	$10.19	$17.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.77 / $14.40 / $29.48	Professional		$8.77	$14.40	$29.48
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $19.25 / $31.35 / $61.47	Professional		$19.25	$31.35	$61.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.92 / $9.92 / $9.92	Professional		$9.92	$9.92	$9.92
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $24.31 / $26.74 / $32.82	Professional		$24.31	$26.74	$32.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $32.82 / $64.91	Professional		$21.88	$32.82	$64.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $49.35 / $138.97 / $154.32	Facility		$49.35	$138.97	$154.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $196.00 / $355.12 / $369.32	Professional		$196.00	$355.12	$369.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.31 / $24.31 / $84.52	Facility		$24.31	$24.31	$84.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.92 / $9.92 / $25.73	Professional		$9.92	$9.92	$25.73
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $45.89 / $45.89 / $45.89	Professional		$45.89	$45.89	$45.89
United Facility/Professional Professional Modifier Low / Median / High Price $9.88 / $10.54 / $32.54	Professional		$9.88	$10.54	$32.54