Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.65 / $107.97 / $307.98	Facility		$39.65	$107.97	$307.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.90 / $33.95 / $45.12	Professional		$24.90	$33.95	$45.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.64 / $22.64 / $26.20	Professional		$22.64	$22.64	$26.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.34 / $91.00 / $312.00	Facility		$41.34	$91.00	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.63 / $29.72 / $87.81	Professional		$18.63	$29.72	$87.81
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.70 / $100.00 / $478.52	Facility		$58.70	$100.00	$478.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $23.38 / $33.40 / $100.00	Professional		$23.38	$33.40	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.12 / $49.53 / $126.28	Facility		$26.12	$49.53	$126.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.62 / $44.79 / $59.95	Professional		$24.62	$44.79	$59.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $33.53 / $37.72 / $60.37	Professional		$33.53	$37.72	$60.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.18 / $37.72 / $85.50	Professional		$30.18	$37.72	$85.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $89.90 / $180.45 / $180.45	Facility		$89.90	$180.45	$180.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.64 / $22.64 / $22.64	Professional		$22.64	$22.64	$22.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.30 / $39.61 / $97.20	Facility		$31.30	$39.61	$97.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.04 / $37.72 / $59.95	Professional		$25.04	$37.72	$59.95
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $132.43 / $132.43 / $132.43	Professional		$132.43	$132.43	$132.43
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $30.18 / $34.20 / $46.94	Professional		$30.18	$34.20	$46.94
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $22.44 / $72.48	Professional		$15.85	$22.44	$72.48