Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.25 / $76.63 / $270.57	Facility		$28.25	$76.63	$270.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.67 / $24.10 / $32.02	Professional		$17.67	$24.10	$32.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.39 / $16.07 / $18.59	Professional		$13.39	$16.07	$18.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.34 / $64.59 / $293.00	Facility		$29.34	$64.59	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $21.09 / $65.56	Professional		$13.22	$21.09	$65.56
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $92.60 / $340.81	Facility		$53.00	$92.60	$340.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $23.71 / $76.81	Professional		$16.60	$23.71	$76.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.54 / $35.17 / $89.66	Facility		$18.54	$35.17	$89.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $32.53 / $47.59	Professional		$17.39	$32.53	$47.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $23.80 / $26.78 / $42.85	Professional		$23.80	$26.78	$42.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.42 / $26.78 / $58.38	Professional		$21.42	$26.78	$58.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $72.28 / $128.00 / $128.00	Facility		$72.28	$128.00	$128.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $24.10 / $33.47 / $53.10	Professional		$24.10	$33.47	$53.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $16.07	Professional		$16.07	$16.07	$16.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.21 / $32.02 / $81.12	Facility		$22.21	$32.02	$81.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.85 / $24.88 / $53.56	Professional		$17.85	$24.88	$53.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $93.99 / $93.99 / $93.99	Professional		$93.99	$93.99	$93.99
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $21.42 / $26.78 / $37.49	Professional		$21.42	$26.78	$37.49
United Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $16.07 / $48.63	Professional		$11.25	$16.07	$48.63