Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.05 / $157.54 / $423.41	Facility		$63.05	$157.54	$423.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.31 / $37.77 / $65.65	Professional		$34.31	$37.77	$65.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.99 / $28.69 / $43.03	Professional		$21.99	$28.69	$43.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.39 / $115.32 / $312.00	Facility		$52.39	$115.32	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.61 / $50.83 / $71.70	Professional		$23.61	$50.83	$71.70
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.90 / $100.00 / $526.23	Facility		$58.90	$100.00	$526.23
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $29.63 / $42.33 / $100.00	Professional		$29.63	$42.33	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.08 / $62.78 / $164.95	Facility		$31.08	$62.78	$164.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.38 / $56.25 / $73.48	Professional		$28.38	$56.25	$73.48
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $35.83 / $47.81 / $76.50	Professional		$35.83	$47.81	$76.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $47.81 / $104.23	Professional		$38.25	$47.81	$104.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $83.19 / $227.10 / $227.10	Facility		$83.19	$227.10	$227.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.68 / $28.68 / $28.68	Professional		$28.68	$28.68	$28.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.82 / $52.51 / $119.53	Facility		$34.82	$52.51	$119.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.19 / $47.81 / $90.24	Professional		$31.19	$47.81	$90.24
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $167.81 / $167.81 / $167.81	Professional		$167.81	$167.81	$167.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $47.81 / $66.93	Professional		$38.25	$47.81	$66.93
United Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $26.55 / $82.13	Professional		$20.07	$26.55	$82.13