Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $177.42 / $457.44	Facility		$40.00	$177.42	$457.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.11 / $55.24 / $81.55	Professional		$50.11	$55.24	$81.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.99 / $43.04 / $55.78	Professional		$30.99	$43.04	$55.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.91 / $149.50 / $363.06	Facility		$67.91	$149.50	$363.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.61 / $48.82 / $145.31	Professional		$30.61	$48.82	$145.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.30 / $120.27 / $786.24	Facility		$59.30	$120.27	$786.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $38.42 / $54.88 / $101.50	Professional		$38.42	$54.88	$101.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.89 / $81.39 / $207.49	Facility		$42.89	$81.39	$207.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.53 / $73.76 / $98.14	Professional		$40.53	$73.76	$98.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $43.39 / $61.98 / $99.00	Professional		$43.39	$61.98	$99.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.58 / $61.99 / $110.00	Professional		$49.58	$61.99	$110.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $147.72 / $296.01 / $296.01	Facility		$147.72	$296.01	$296.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $55.78 / $77.48 / $122.95	Professional		$55.78	$77.48	$122.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.18 / $37.18 / $37.18	Professional		$37.18	$37.18	$37.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.41 / $65.08 / $159.71	Facility		$51.41	$65.08	$159.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.27 / $61.98 / $123.96	Professional		$41.27	$61.98	$123.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $217.54 / $217.54 / $217.54	Professional		$217.54	$217.54	$217.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $44.26 / $49.58 / $61.98	Professional		$44.26	$49.58	$61.98
United Facility/Professional Professional Modifier Low / Median / High Price $26.03 / $36.86 / $127.70	Professional		$26.03	$36.86	$127.70