Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.07 / $159.81 / $354.40	Facility		$25.07	$159.81	$354.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.14 / $35.18 / $91.77	Professional		$25.14	$35.18	$91.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $31.58 / $55.79	Professional		$17.55	$31.58	$55.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.61 / $84.64 / $312.00	Facility		$37.61	$84.64	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.88 / $30.96 / $102.58	Professional		$19.88	$30.96	$102.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $57.10 / $97.90 / $442.83	Facility		$57.10	$97.90	$442.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $24.86 / $31.07 / $100.00	Professional		$24.86	$31.07	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.78 / $60.67 / $128.69	Facility		$25.78	$60.67	$128.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.92 / $37.72 / $173.64	Professional		$22.92	$37.72	$173.64
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $35.09 / $47.37	Professional		$25.59	$35.09	$47.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $40.35 / $79.52	Professional		$31.58	$40.35	$79.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $61.06 / $167.46 / $167.46	Facility		$61.06	$167.46	$167.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $71.77 / $289.44 / $289.44	Professional		$71.77	$289.44	$289.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.11 / $42.11 / $42.11	Professional		$42.11	$42.11	$42.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.04 / $58.62 / $111.13	Facility		$34.04	$58.62	$111.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.76 / $42.46 / $116.94	Professional		$25.76	$42.46	$116.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $123.16 / $123.16 / $123.16	Professional		$123.16	$123.16	$123.16
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $28.07 / $35.79 / $59.65	Professional		$28.07	$35.79	$59.65
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $20.88 / $77.48	Professional		$14.74	$20.88	$77.48