Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $39.81 / $120.23	Professional		$26.92	$39.81	$120.23
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $13.80 / $34.67 / $87.10	Professional	52	$13.80	$34.67	$87.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.02 / $60.26	Professional		$30.20	$38.02	$60.26
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $11.22 / $11.22 / $11.22	Professional	52	$11.22	$11.22	$11.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $36.31 / $114.82	Professional		$22.91	$36.31	$114.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $22.39 / $38.02	Professional		$17.78	$22.39	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $36.31 / $100.00	Professional		$21.88	$36.31	$100.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $19.05 / $61.66	Professional		$14.79	$19.05	$61.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $47.86 / $77.62	Professional		$38.90	$47.86	$77.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $338.84 / $338.84	Professional		$213.80	$338.84	$338.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $37.15 / $89.13	Professional		$21.88	$37.15	$89.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $63.10	Professional		$52.48	$52.48	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $27.54 / $60.26	Professional		$20.42	$27.54	$60.26