Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.04 / $25.34 / $147.51	Facility		$23.04	$25.34	$147.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.28 / $25.25 / $37.38	Professional		$22.28	$25.25	$37.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.43 / $22.43 / $34.13	Professional		$22.43	$22.43	$34.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.92 / $293.00 / $876.00	Facility		$24.92	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.67 / $32.03 / $62.17	Professional		$24.67	$32.03	$62.17
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $25.52 / $55.40 / $77.31	Facility		$25.52	$55.40	$77.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $21.92 / $31.31 / $75.20	Professional		$21.92	$31.31	$75.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.80 / $27.80 / $27.80	Facility		$27.80	$27.80	$27.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.21 / $32.35 / $67.53	Professional		$25.21	$32.35	$67.53
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $23.48 / $26.85 / $36.25	Professional		$23.48	$26.85	$36.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $26.40 / $52.36	Professional		$21.60	$26.40	$52.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $57.12 / $109.00 / $118.37	Facility		$57.12	$109.00	$118.37
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $178.32 / $178.32 / $193.28	Professional		$178.32	$178.32	$193.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $34.72	Professional		$32.34	$32.34	$34.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.04 / $29.56 / $41.46	Facility		$23.04	$29.56	$41.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.56 / $35.36 / $64.69	Professional		$25.56	$35.36	$64.69
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 $23.48 / $35.21 / $64.06	Professional		$23.48	$35.21	$64.06
United Facility/Professional Facility Modifier Low / Median / High Price $23.29 / $23.29 / $23.29	Facility		$23.29	$23.29	$23.29
United Facility/Professional Professional Modifier Low / Median / High Price $19.44 / $25.92 / $54.83	Professional		$19.44	$25.92	$54.83