Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.22 / $87.00 / $166.38	Facility		$19.22	$87.00	$166.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.99 / $17.05 / $33.86	Professional		$13.99	$17.05	$33.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.16 / $14.16 / $14.16	Professional		$14.16	$14.16	$14.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.86 / $56.92 / $293.00	Facility		$25.86	$56.92	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $13.61 / $39.22	Professional		$9.44	$13.61	$39.22
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $44.60 / $86.00 / $211.60	Facility		$44.60	$86.00	$211.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $14.57 / $50.70	Professional		$10.19	$14.57	$50.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.34 / $30.54 / $77.23	Facility		$15.34	$30.54	$77.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.18 / $27.26 / $36.14	Professional		$12.18	$27.26	$36.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $17.91 / $23.60 / $37.76	Professional		$17.91	$23.60	$37.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.88 / $23.60 / $51.45	Professional		$18.88	$23.60	$51.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $251.24 / $319.45 / $319.45	Facility		$251.24	$319.45	$319.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.16 / $14.16 / $14.16	Professional		$14.16	$14.16	$14.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.51 / $24.99 / $59.83	Facility		$15.51	$24.99	$59.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.18 / $21.27 / $35.93	Professional		$12.18	$21.27	$35.93
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $82.83 / $82.83 / $82.83	Professional		$82.83	$82.83	$82.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $18.88 / $23.60 / $33.04	Professional		$18.88	$23.60	$33.04
United Facility/Professional Professional Modifier Low / Median / High Price $9.66 / $9.91 / $37.06	Professional		$9.66	$9.91	$37.06