Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.67 / $77.45 / $92.23	Facility		$70.67	$77.45	$92.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.64 / $80.20 / $110.27	Professional		$65.64	$80.20	$110.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.97 / $58.97 / $58.97	Professional		$58.97	$58.97	$58.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.75 / $14.78 / $14.78	Facility		$13.75	$14.78	$14.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.14 / $74.00 / $159.63	Professional		$14.14	$74.00	$159.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $40.68 / $116.96 / $155.59	Facility		$40.68	$116.96	$155.59
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $74.48 / $106.40 / $155.62	Professional		$74.48	$106.40	$155.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $85.07 / $211.47	Professional		$40.00	$85.07	$211.47
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $76.92 / $76.92 / $92.30	Professional		$76.92	$76.92	$92.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.00 / $638.07 / $801.00	Professional		$112.00	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $323.95 / $351.83 / $351.83	Facility		$323.95	$351.83	$351.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $457.92 / $538.17 / $700.20	Professional		$457.92	$538.17	$700.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.80 / $88.88 / $119.52	Facility		$68.80	$88.88	$119.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $79.48 / $173.34	Professional		$37.00	$79.48	$173.34
United Facility/Professional Facility Modifier Low / Median / High Price $98.01 / $98.01 / $98.01	Facility		$98.01	$98.01	$98.01
United Facility/Professional Professional Modifier Low / Median / High Price $68.29 / $95.00 / $311.30	Professional		$68.29	$95.00	$311.30