Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.63 / $52.43 / $297.75	Facility		$48.63	$52.43	$297.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.21 / $52.24 / $118.58	Professional		$45.21	$52.24	$118.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.83 / $56.52 / $109.98	Professional		$44.83	$56.52	$109.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.79 / $293.00 / $876.00	Facility		$59.79	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.55 / $66.67 / $134.84	Professional		$45.55	$66.67	$134.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $51.69 / $90.30 / $202.23	Facility		$51.69	$90.30	$202.23
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.53 / $55.89 / $134.19	Professional		$40.53	$55.89	$134.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.16 / $65.08 / $135.41	Professional		$51.16	$65.08	$135.41
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $43.92 / $55.67 / $75.15	Professional		$43.92	$55.67	$75.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.18 / $54.82 / $98.18	Professional		$44.18	$54.82	$98.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $219.49 / $238.55 / $238.55	Facility		$219.49	$238.55	$238.55
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $310.49 / $316.98 / $405.83	Professional		$310.49	$316.98	$405.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.45 / $59.72 / $82.21	Facility		$47.45	$59.72	$82.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.29 / $72.56 / $134.32	Professional		$52.29	$72.56	$134.32
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $163.54 / $163.54 / $165.94	Professional		$163.54	$163.54	$165.94
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $43.86 / $50.59 / $65.88	Professional		$43.86	$50.59	$65.88
United Facility/Professional Facility Modifier Low / Median / High Price $57.04 / $57.04 / $57.04	Facility		$57.04	$57.04	$57.04
United Facility/Professional Professional Modifier Low / Median / High Price $40.88 / $56.71 / $136.22	Professional		$40.88	$56.71	$136.22