Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.16 / $16.60 / $163.19	Facility		$15.16	$16.60	$163.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $25.50 / $163.19	Professional		$16.60	$25.50	$163.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.56 / $56.56 / $56.56	Professional		$56.56	$56.56	$56.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.39 / $24.56 / $64.93	Facility		$20.39	$24.56	$64.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.34 / $28.34 / $52.60	Professional		$28.34	$28.34	$52.60
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.57 / $77.39 / $119.57	Facility		$59.57	$77.39	$119.57
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $30.57 / $100.00 / $174.80	Professional		$30.57	$100.00	$174.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.38 / $33.97 / $44.93	Facility		$32.38	$33.97	$44.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $28.88 / $39.97	Professional		$28.88	$28.88	$39.97
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $45.25 / $56.56 / $67.87	Professional		$45.25	$56.56	$67.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.94 / $39.59 / $87.67	Professional		$33.94	$39.59	$87.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $268.66 / $268.66	Facility		$114.82	$268.66	$268.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $281.67 / $281.67 / $424.20	Professional		$281.67	$281.67	$424.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $115.94	Professional		$32.34	$32.34	$115.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.48 / $50.00 / $56.56	Facility		$15.48	$50.00	$56.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $33.97 / $53.83	Professional		$28.88	$33.97	$53.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $106.75 / $106.75 / $106.75	Professional		$106.75	$106.75	$106.75
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $45.25 / $45.25 / $45.25	Professional		$45.25	$45.25	$45.25
United Facility/Professional Professional Modifier Low / Median / High Price $21.79 / $23.99 / $56.56	Professional		$21.79	$23.99	$56.56