Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.55 / $63.19 / $67.89	Facility		$56.55	$63.19	$67.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.15 / $64.87 / $156.08	Professional		$53.15	$64.87	$156.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.62 / $118.13 / $346.14	Professional		$60.62	$118.13	$346.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.90 / $78.39 / $78.39	Facility		$72.90	$78.39	$78.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.23 / $74.75 / $142.85	Professional		$51.23	$74.75	$142.85
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $126.12 / $181.60 / $181.60	Facility		$126.12	$181.60	$181.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $53.89 / $70.03 / $109.88	Professional		$53.89	$70.03	$109.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $65.00 / $149.12	Professional		$49.00	$65.00	$149.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $57.63 / $72.79 / $97.64	Professional		$57.63	$72.79	$97.64
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $66.05 / $66.05 / $66.05	Professional		$66.05	$66.05	$66.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.44 / $64.33 / $104.55	Professional		$52.44	$64.33	$104.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $278.55 / $297.30 / $297.30	Facility		$278.55	$297.30	$297.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $377.46 / $424.58 / $559.79	Professional		$377.46	$424.58	$559.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $97.03	Professional		$32.34	$32.34	$97.03
Optum Facility/Professional Professional Modifier Low / Median / High Price $51.25 / $62.94 / $93.54	Professional		$51.25	$62.94	$93.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.55 / $71.80 / $93.77	Facility		$56.55	$71.80	$93.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $67.68 / $151.47	Professional		$49.00	$67.68	$151.47
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $72.00 / $72.00	Facility		$72.00	$72.00	$72.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $51.25 / $63.78 / $115.89	Professional		$51.25	$63.78	$115.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $60.18 / $71.04 / $86.82	Professional		$60.18	$71.04	$86.82
United Facility/Professional Facility Modifier Low / Median / High Price $76.95 / $76.95 / $76.95	Facility		$76.95	$76.95	$76.95
United Facility/Professional Professional Modifier Low / Median / High Price $51.25 / $66.97 / $168.10	Professional		$51.25	$66.97	$168.10