Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.43 / $130.10 / $297.64	Facility		$30.43	$130.10	$297.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.17 / $26.06 / $171.17	Professional		$19.17	$26.06	$171.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $17.30 / $17.30	Professional		$17.30	$17.30	$17.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.59 / $69.54 / $307.04	Facility		$31.59	$69.54	$307.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.24 / $22.72 / $66.20	Professional		$14.24	$22.72	$66.20
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $54.60 / $92.71 / $367.04	Facility		$54.60	$92.71	$367.04
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $17.87 / $25.53 / $82.72	Professional		$17.87	$25.53	$82.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.98 / $37.85 / $96.51	Facility		$19.98	$37.85	$96.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.89 / $35.08 / $51.20	Professional		$18.89	$35.08	$51.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $25.63 / $28.83 / $46.13	Professional		$25.63	$28.83	$46.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.06 / $28.83 / $63.00	Professional		$23.06	$28.83	$63.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $94.73 / $138.00 / $179.00	Facility		$94.73	$138.00	$179.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.41 / $14.41 / $14.41	Professional		$14.41	$14.41	$14.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.84 / $33.36 / $80.88	Facility		$23.84	$33.36	$80.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.23 / $28.83 / $57.66	Professional		$19.23	$28.83	$57.66
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $101.19 / $101.19 / $101.19	Professional		$101.19	$101.19	$101.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $23.06 / $28.83 / $40.36	Professional		$23.06	$28.83	$40.36
United Facility/Professional Professional Modifier Low / Median / High Price $12.11 / $17.14 / $51.32	Professional		$12.11	$17.14	$51.32