Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $5,248.07 / $16,595.87	Facility		$363.08	$5,248.07	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $28.84 / $131.83	Professional		$10.47	$28.84	$131.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Professional		$32.36	$32.36	$32.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $14.13 / $35.48	Facility		$10.96	$14.13	$35.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $43.65 / $128.82	Professional		$14.45	$43.65	$128.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $1,862.09	Facility		$60.26	$100.00	$1,862.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $85.11 / $177.83	Professional		$63.10	$85.11	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $33.11 / $83.18	Professional		$11.75	$33.11	$83.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $60.26 / $81.28	Professional		$23.44	$60.26	$81.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $50.12 / $93.33	Professional		$21.38	$50.12	$93.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $380.19	Professional		$371.54	$371.54	$380.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $63.10	Professional		$38.02	$38.02	$63.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $38.90 / $79.43	Facility		$20.89	$38.90	$79.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $33.11 / $85.11	Professional		$11.75	$33.11	$85.11
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $151.36	Professional		$83.18	$83.18	$151.36
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $67.61 / $102.33	Professional		$21.38	$67.61	$102.33
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,584.89 / $6,760.83	Facility		$588.84	$1,584.89	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $40.74 / $83.18	Professional		$18.62	$40.74	$83.18