Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $194.98 / $645.65	Facility		$46.77	$194.98	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $61.66 / $407.38	Professional		$42.66	$61.66	$407.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $42.66 / $44.67	Professional		$38.90	$42.66	$44.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $151.36 / $323.59	Facility		$37.15	$151.36	$323.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $54.95 / $186.21	Professional		$31.62	$54.95	$186.21
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $181.97 / $870.96	Facility		$60.26	$181.97	$870.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $74.13 / $181.97	Professional		$51.29	$74.13	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $107.15 / $234.42	Facility		$42.66	$107.15	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $64.57 / $97.72	Professional		$38.02	$64.57	$97.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $64.57 / $100.00	Professional		$57.54	$64.57	$100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $64.57 / $141.25	Professional		$51.29	$64.57	$141.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $77.62 / $77.62	Professional		$38.90	$77.62	$77.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $77.62 / $181.97	Facility		$53.70	$77.62	$181.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $58.88 / $147.91	Professional		$38.02	$58.88	$147.91
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $64.57 / $97.72	Professional		$51.29	$64.57	$97.72
United Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $38.90 / $64.57	Facility		$28.84	$38.90	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $38.90 / $128.82	Professional		$26.92	$38.90	$128.82