Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.92 / $117.50 / $212.17	Facility		$25.92	$117.50	$212.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.13 / $30.29 / $116.76	Professional		$21.13	$30.29	$116.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.48 / $22.09 / $41.35	Professional		$17.48	$22.09	$41.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.54 / $293.00 / $876.00	Facility		$29.54	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.43 / $38.67 / $81.40	Professional		$22.43	$38.67	$81.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $28.29 / $60.30 / $86.60	Facility		$28.29	$60.30	$86.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $27.97 / $39.97 / $92.88	Professional		$27.97	$39.97	$92.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.83 / $39.83 / $39.83	Facility		$39.83	$39.83	$39.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.26 / $33.43 / $76.25	Professional		$23.26	$33.43	$76.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $20.30 / $25.08 / $30.10	Professional		$20.30	$25.08	$30.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $20.30 / $60.00	Professional		$16.23	$20.30	$60.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $42.98 / $143.78 / $178.00	Facility		$42.98	$143.78	$178.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $440.85 / $440.85 / $440.85	Professional		$440.85	$440.85	$440.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.97 / $32.34 / $32.34	Professional		$25.97	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.92 / $24.41 / $85.00	Facility		$17.92	$24.41	$85.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.22 / $34.26 / $66.77	Professional		$22.22	$34.26	$66.77
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $86.44 / $86.44 / $86.44	Professional		$86.44	$86.44	$86.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $18.46 / $43.18 / $68.45	Professional		$18.46	$43.18	$68.45
United Facility/Professional Professional Modifier Low / Median / High Price $20.25 / $28.85 / $63.23	Professional		$20.25	$28.85	$63.23