Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.38 / $369.75 / $684.34	Facility		$64.38	$369.75	$684.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.08 / $77.15 / $533.58	Professional		$68.08	$77.15	$533.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.55 / $42.55 / $135.31	Professional		$42.55	$42.55	$135.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.21 / $200.73 / $475.00	Facility		$91.21	$200.73	$475.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.02 / $75.06 / $238.54	Professional		$42.02	$75.06	$238.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.90 / $156.93 / $1,066.44	Facility		$58.90	$156.93	$1,066.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $75.34 / $230.57	Professional		$52.75	$75.34	$230.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.51 / $146.04 / $296.29	Facility		$62.51	$146.04	$296.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.60 / $91.68 / $419.06	Professional		$55.60	$91.68	$419.06
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $75.64 / $86.99 / $114.89	Professional		$75.64	$86.99	$114.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.59 / $100.42 / $187.22	Professional		$76.59	$100.42	$187.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $148.07 / $405.72 / $405.72	Facility		$148.07	$405.72	$405.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $638.25 / $699.71 / $699.71	Professional		$638.25	$699.71	$699.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.12 / $102.12 / $102.12	Professional		$102.12	$102.12	$102.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.55 / $111.75 / $251.32	Facility		$79.55	$111.75	$251.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.71 / $102.97 / $261.06	Professional		$62.71	$102.97	$261.06
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $298.70 / $298.70 / $298.70	Professional		$298.70	$298.70	$298.70
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $68.08 / $86.80 / $144.66	Professional		$68.08	$86.80	$144.66
United Facility/Professional Professional Modifier Low / Median / High Price $35.74 / $51.06 / $187.90	Professional		$35.74	$51.06	$187.90