Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.57 / $26.27 / $158.07	Facility		$23.57	$26.27	$158.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.45 / $26.27 / $100.00	Professional		$22.45	$26.27	$100.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.45 / $24.51 / $33.61	Professional		$16.45	$24.51	$33.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.71 / $0.82 / $0.93	Facility		$0.71	$0.82	$0.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.78 / $1.67 / $60.81	Professional		$0.78	$1.67	$60.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $17.42 / $24.44 / $61.09	Professional		$17.42	$24.44	$61.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.28 / $37.28 / $37.28	Facility		$37.28	$37.28	$37.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.14 / $33.00 / $72.43	Professional		$24.14	$33.00	$72.43
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $21.56 / $27.75 / $34.97	Professional		$21.56	$27.75	$34.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.31 / $28.46 / $51.66	Professional		$22.31	$28.46	$51.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.12 / $238.94 / $238.94	Facility		$90.12	$238.94	$238.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $342.78 / $342.78 / $342.78	Professional		$342.78	$342.78	$342.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Optum Facility/Professional Professional Modifier Low / Median / High Price $19.85 / $23.46 / $27.75	Professional		$19.85	$23.46	$27.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.97 / $29.70 / $41.24	Facility		$22.97	$29.70	$41.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.32 / $39.07 / $66.75	Professional		$25.32	$39.07	$66.75
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $31.00 / $31.00 / $31.00	Facility		$31.00	$31.00	$31.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.77 / $88.48	Professional		$19.95	$25.77	$88.48
United Facility/Professional Facility Modifier Low / Median / High Price $27.56 / $27.56 / $27.56	Facility		$27.56	$27.56	$27.56
United Facility/Professional Professional Modifier Low / Median / High Price $20.28 / $27.31 / $65.15	Professional		$20.28	$27.31	$65.15