Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $44.67 / $151.36	Professional		$33.88	$44.67	$151.36
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $16.98 / $38.02 / $117.49	Professional	52	$16.98	$38.02	$117.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $47.86 / $58.88	Professional		$41.69	$47.86	$58.88
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $13.18 / $13.18 / $13.18	Professional	52	$13.18	$13.18	$13.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $48.98 / $141.25	Professional		$30.20	$48.98	$141.25
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $32.36 / $54.95	Professional		$26.30	$32.36	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $44.67 / $117.49	Professional		$28.84	$44.67	$117.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $25.12 / $75.86	Professional		$19.50	$25.12	$75.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $57.54 / $93.33	Professional		$46.77	$57.54	$93.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $407.38 / $407.38	Professional		$257.04	$407.38	$407.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $45.71 / $107.15	Professional		$28.84	$45.71	$107.15
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $77.62	Professional		$63.10	$63.10	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $34.67 / $72.44	Professional		$26.30	$34.67	$72.44