Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.48 / $94.78 / $201.83	Facility		$24.48	$94.78	$201.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.34 / $27.35 / $117.00	Professional		$24.34	$27.35	$117.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.86 / $23.40 / $53.19	Professional		$20.86	$23.40	$53.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.01 / $293.00 / $876.00	Facility		$28.01	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.34 / $37.68 / $81.34	Professional		$25.34	$37.68	$81.34
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 $26.88 / $38.40 / $89.00	Professional		$26.88	$38.40	$89.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.22 / $38.22 / $38.22	Facility		$38.22	$38.22	$38.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.21 / $34.35 / $83.55	Professional		$26.21	$34.35	$83.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $21.75 / $26.39 / $35.63	Professional		$21.75	$26.39	$35.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.28 / $26.00 / $62.00	Professional		$21.28	$26.00	$62.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $56.49 / $116.57 / $162.35	Facility		$56.49	$116.57	$162.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $384.71 / $384.71 / $384.71	Professional		$384.71	$384.71	$384.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $34.27	Professional		$32.34	$32.34	$34.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.73 / $29.45 / $60.59	Facility		$22.73	$29.45	$60.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.36 / $35.47 / $67.53	Professional		$26.36	$35.47	$67.53
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $82.83 / $82.83 / $82.83	Professional		$82.83	$82.83	$82.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $21.75 / $37.43 / $59.34	Professional		$21.75	$37.43	$59.34
United Facility/Professional Professional Modifier Low / Median / High Price $20.16 / $27.63 / $64.15	Professional		$20.16	$27.63	$64.15