Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.10 / $19.63 / $36.31	Professional		$16.10	$19.63	$36.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.32 / $18.32 / $18.32	Professional		$18.32	$18.32	$18.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.66 / $22.65 / $50.84	Professional		$18.66	$22.65	$50.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $94.32 / $212.54 / $257.42	Facility		$94.32	$212.54	$257.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $22.30 / $33.45	Professional		$15.61	$22.30	$33.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.15 / $25.00 / $90.00	Facility		$21.15	$25.00	$90.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.96 / $25.55 / $60.77	Professional		$17.96	$25.55	$60.77
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $19.25 / $22.02 / $27.03	Professional		$19.25	$22.02	$27.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.73 / $19.23 / $31.76	Professional		$15.73	$19.23	$31.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $86.93 / $86.93	Facility		$80.00	$86.93	$86.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $111.25 / $130.79 / $165.68	Professional		$111.25	$130.79	$165.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.25 / $21.34 / $29.60	Facility		$16.25	$21.34	$29.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $26.12 / $55.86	Professional		$18.23	$26.12	$55.86
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $59.09 / $59.09 / $71.11	Professional		$59.09	$59.09	$71.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $18.21 / $22.25 / $26.85	Professional		$18.21	$22.25	$26.85
United Facility/Professional Professional Modifier Low / Median / High Price $16.36 / $20.16 / $56.45	Professional		$16.36	$20.16	$56.45