Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $26.90 / $63.52	Professional		$19.32	$26.90	$63.52
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $8.72 / $11.54 / $18.94	Professional	52	$8.72	$11.54	$18.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.79 / $25.45 / $57.81	Professional		$21.79	$25.45	$57.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.47 / $20.47 / $20.47	Facility		$20.47	$20.47	$20.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $25.83 / $59.03	Professional		$18.14	$25.83	$59.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $48.06 / $57.98 / $130.75	Facility		$48.06	$57.98	$130.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $21.95 / $42.59	Professional		$15.30	$21.95	$42.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.62 / $29.50 / $66.83	Professional		$19.62	$29.50	$66.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $25.59 / $36.56	Professional		$18.44	$25.59	$36.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.70 / $28.64 / $51.28	Professional		$18.70	$28.64	$51.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.84 / $100.65 / $100.65	Facility		$90.84	$100.65	$100.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $126.34 / $213.00 / $221.25	Professional		$126.34	$213.00	$221.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.82 / $31.70 / $46.58	Facility		$21.82	$31.70	$46.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.89 / $30.96 / $66.38	Professional		$19.89	$30.96	$66.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $68.51 / $68.51 / $91.35	Professional		$68.51	$68.51	$91.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $21.16 / $25.86 / $36.59	Professional		$21.16	$25.86	$36.59
United Facility/Professional Facility Modifier Low / Median / High Price $51.84 / $51.84 / $51.84	Facility		$51.84	$51.84	$51.84
United Facility/Professional Professional Modifier Low / Median / High Price $18.82 / $24.75 / $45.65	Professional		$18.82	$24.75	$45.65