Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $323.59 / $691.83	Facility		$83.18	$323.59	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $83.18 / $436.52	Professional		$56.23	$83.18	$436.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $63.10	Professional		$35.48	$35.48	$63.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $162.18 / $354.81	Facility		$39.81	$162.18	$354.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $63.10 / $186.21	Professional		$50.12	$63.10	$186.21
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $199.53 / $954.99	Facility		$60.26	$199.53	$954.99
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $75.86 / $190.55	Professional		$56.23	$75.86	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $123.03 / $257.04	Facility		$53.70	$123.03	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $57.54 / $218.78	Professional		$45.71	$57.54	$218.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $70.79 / $95.50	Professional		$38.90	$70.79	$95.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $77.62 / $138.04	Professional		$63.10	$77.62	$138.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Facility		$331.13	$331.13	$331.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $575.44	Professional		$524.81	$524.81	$575.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $97.72 / $208.93	Facility		$60.26	$97.72	$208.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $75.86 / $199.53	Professional		$45.71	$75.86	$199.53
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $53.70 / $70.79	Professional		$38.90	$53.70	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $70.79 / $70.79	Facility		$29.51	$70.79	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $41.69 / $141.25	Professional		$29.51	$41.69	$141.25