Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $37.15 / $154.88	Facility		$26.92	$37.15	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $60.26 / $144.54	Professional		$28.18	$60.26	$144.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $47.86 / $74.13	Professional		$33.11	$47.86	$74.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $41.69 / $104.71	Facility		$33.11	$41.69	$104.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $56.23 / $107.15	Professional		$35.48	$56.23	$107.15
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $45.71 / $95.50	Professional		$30.20	$45.71	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $52.48 / $117.49	Professional		$33.88	$52.48	$117.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $39.81 / $53.70	Professional		$25.12	$39.81	$53.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $43.65 / $83.18	Professional		$33.11	$43.65	$83.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $45.71 / $77.62	Facility		$32.36	$45.71	$77.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $54.95 / $109.65	Professional		$34.67	$54.95	$109.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $41.69 / $112.20	Professional		$30.20	$41.69	$112.20