Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $67.25	Facility		$12.88	$12.88	$67.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $17.07 / $57.00	Professional		$12.88	$17.07	$57.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.48 / $17.48 / $43.61	Professional		$17.48	$17.48	$43.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.21 / $9.77 / $16.53	Facility		$8.21	$9.77	$16.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $13.80 / $28.25	Professional		$8.42	$13.80	$28.25
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $18.45 / $30.05 / $58.92	Professional		$18.45	$30.05	$58.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $9.51 / $9.51	Professional		$9.51	$9.51	$9.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $23.32 / $25.65 / $31.48	Professional		$23.32	$25.65	$31.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $30.32 / $62.26	Professional		$18.00	$30.32	$62.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $47.34 / $110.77 / $117.78	Facility		$47.34	$110.77	$117.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $174.90 / $272.08 / $282.97	Professional		$174.90	$272.08	$282.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.32 / $23.32 / $64.37	Facility		$23.32	$23.32	$64.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $9.51 / $24.68	Professional		$9.51	$9.51	$24.68
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $43.99 / $43.99 / $43.99	Professional		$43.99	$43.99	$43.99
United Facility/Professional Professional Modifier Low / Median / High Price $9.47 / $10.10 / $30.32	Professional		$9.47	$10.10	$30.32