Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.41 / $474.00 / $1,540.24	Facility		$79.41	$474.00	$1,540.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.68 / $89.53 / $380.07	Professional		$53.68	$89.53	$380.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.45 / $145.63 / $148.38	Professional		$83.45	$145.63	$148.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,464.00 / $8,976.00	Facility		$1,723.00	$4,464.00	$8,976.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.67 / $78.38 / $161.25	Professional		$57.67	$78.38	$161.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $1,581.82	Facility		$66.00	$100.00	$1,581.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $57.67 / $90.26 / $166.86	Professional		$57.67	$90.26	$166.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $102.28 / $183.18	Facility		$56.00	$102.28	$183.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.08 / $90.43 / $162.97	Professional		$55.08	$90.43	$162.97
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $43.77 / $66.27 / $125.23	Professional		$43.77	$66.27	$125.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $87.78 / $160.18	Professional		$41.11	$87.78	$160.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $192.96 / $198.27	Facility		$55.00	$192.96	$198.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $329.38 / $611.20 / $726.38	Professional		$329.38	$611.20	$726.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.27 / $78.81 / $130.61	Facility		$47.27	$78.81	$130.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.39 / $94.10 / $180.00	Professional		$57.39	$94.10	$180.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $134.22 / $134.22 / $266.45	Professional		$134.22	$134.22	$266.45
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $39.69 / $86.15 / $119.28	Professional		$39.69	$86.15	$119.28
United Facility/Professional Facility Modifier Low / Median / High Price $526.00 / $1,501.00 / $6,920.00	Facility		$526.00	$1,501.00	$6,920.00
United Facility/Professional Professional Modifier Low / Median / High Price $64.68 / $84.44 / $183.18	Professional		$64.68	$84.44	$183.18