Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.70 / $51.95 / $188.19	Facility		$32.70	$51.95	$188.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.65 / $42.67 / $89.32	Professional		$28.65	$42.67	$89.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.54 / $18.54 / $18.54	Professional		$18.54	$18.54	$18.54
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 $30.16 / $44.36 / $94.32	Professional		$30.16	$44.36	$94.32
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $1,581.82	Facility		$64.40	$100.00	$1,581.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $33.51 / $55.03 / $100.00	Professional		$33.51	$55.03	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $56.00 / $56.00	Facility		$56.00	$56.00	$56.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.45 / $42.72 / $85.75	Professional		$22.45	$42.72	$85.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $21.64 / $41.70 / $65.73	Professional		$21.64	$41.70	$65.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.60 / $31.54 / $57.78	Professional		$19.60	$31.54	$57.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $96.05 / $96.17	Facility		$55.00	$96.05	$96.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $149.12 / $279.68 / $330.04	Professional		$149.12	$279.68	$330.04
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 $23.00 / $35.94 / $63.87	Facility		$23.00	$35.94	$63.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.99 / $44.40 / $84.63	Professional		$22.99	$44.40	$84.63
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $67.39 / $67.39 / $101.05	Professional		$67.39	$67.39	$101.05
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $19.67 / $39.35 / $93.82	Professional		$19.67	$39.35	$93.82
United Facility/Professional Facility Modifier Low / Median / High Price $570.00 / $1,528.00 / $7,068.00	Facility		$570.00	$1,528.00	$7,068.00
United Facility/Professional Professional Modifier Low / Median / High Price $24.46 / $40.56 / $76.15	Professional		$24.46	$40.56	$76.15