Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.13 / $67.45 / $235.52	Facility		$22.13	$67.45	$235.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.46 / $21.75 / $40.81	Professional		$18.46	$21.75	$40.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $14.97 / $17.32	Professional		$12.48	$14.97	$17.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.34 / $60.18 / $293.00	Facility		$27.34	$60.18	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $19.66 / $58.09	Professional		$12.32	$19.66	$58.09
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $52.40 / $92.60 / $317.76	Facility		$52.40	$92.60	$317.76
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15.47 / $22.10 / $71.59	Professional		$15.47	$22.10	$71.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.27 / $32.76 / $83.53	Facility		$17.27	$32.76	$83.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.68 / $29.73 / $41.47	Professional		$16.68	$29.73	$41.47
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $22.18 / $24.95 / $39.92	Professional		$22.18	$24.95	$39.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.96 / $24.95 / $54.89	Professional		$19.96	$24.95	$54.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $111.02 / $141.15 / $141.15	Facility		$111.02	$141.15	$141.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $22.46 / $31.19 / $47.26	Professional		$22.46	$31.19	$47.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.97 / $14.97 / $14.97	Professional		$14.97	$14.97	$14.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.66 / $29.85 / $80.92	Facility		$20.66	$29.85	$80.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.68 / $24.95 / $49.90	Professional		$16.68	$24.95	$49.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $87.57 / $87.57 / $87.57	Professional		$87.57	$87.57	$87.57
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $19.96 / $24.95 / $34.93	Professional		$19.96	$24.95	$34.93
United Facility/Professional Facility Modifier Low / Median / High Price $10.48 / $24.95 / $24.95	Facility		$10.48	$24.95	$24.95
United Facility/Professional Professional Modifier Low / Median / High Price $10.48 / $14.97 / $47.93	Professional		$10.48	$14.97	$47.93