Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $178.92 / $286.41	Facility		$45.00	$178.92	$286.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $26.32 / $64.92	Professional		$15.69	$26.32	$64.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $17.76 / $26.64	Professional		$12.43	$17.76	$26.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.43 / $71.40 / $312.00	Facility		$32.43	$71.40	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.78 / $23.32 / $68.86	Professional		$16.78	$23.32	$68.86
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $95.10 / $376.79	Facility		$55.00	$95.10	$376.79
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $18.35 / $26.21 / $84.94	Professional		$18.35	$26.21	$84.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.49 / $38.86 / $99.09	Facility		$20.49	$38.86	$99.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.71 / $35.53 / $49.27	Professional		$19.71	$35.53	$49.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $29.60 / $47.36	Professional		$20.72	$29.60	$47.36
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $29.60 / $29.60 / $29.60	Professional		$29.60	$29.60	$29.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.68 / $29.61 / $57.72	Professional		$23.68	$29.61	$57.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $84.58 / $141.54 / $141.54	Facility		$84.58	$141.54	$141.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $34.15 / $41.89 / $101.69	Professional		$34.15	$41.89	$101.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.76 / $17.76 / $17.76	Professional		$17.76	$17.76	$17.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.44 / $35.40 / $93.60	Facility		$24.44	$35.40	$93.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.79 / $29.60 / $59.20	Professional		$19.79	$29.60	$59.20
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $103.89 / $103.89 / $103.89	Professional		$103.89	$103.89	$103.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $23.68 / $29.60 / $41.44	Professional		$23.68	$29.60	$41.44
United Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $17.76 / $53.75	Professional		$12.43	$17.76	$53.75