Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.25 / $79.59 / $268.97	Facility		$22.25	$79.59	$268.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.60 / $25.04 / $33.26	Professional		$23.60	$25.04	$33.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.90 / $16.68 / $19.30	Professional		$13.90	$16.68	$19.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.46 / $67.05 / $296.07	Facility		$30.46	$67.05	$296.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.73 / $21.91 / $64.70	Professional		$13.73	$21.91	$64.70
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $53.79 / $92.60 / $353.92	Facility		$53.79	$92.60	$353.92
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $24.62 / $79.78	Professional		$17.23	$24.62	$79.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.23 / $36.50 / $93.06	Facility		$19.23	$36.50	$93.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.25 / $33.79 / $49.39	Professional		$18.25	$33.79	$49.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $24.71 / $27.80 / $44.48	Professional		$24.71	$27.80	$44.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.24 / $27.80 / $63.00	Professional		$22.24	$27.80	$63.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $71.84 / $133.26 / $133.26	Facility		$71.84	$133.26	$133.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.68 / $16.68 / $16.68	Professional		$16.68	$16.68	$16.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.02 / $33.00 / $79.45	Facility		$23.02	$33.00	$79.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.55 / $27.80 / $55.60	Professional		$18.55	$27.80	$55.60
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $97.57 / $97.57 / $97.57	Professional		$97.57	$97.57	$97.57
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $22.24 / $27.80 / $38.92	Professional		$22.24	$27.80	$38.92
United Facility/Professional Professional Modifier Low / Median / High Price $11.68 / $16.54 / $53.40	Professional		$11.68	$16.54	$53.40