Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.30 / $20.04 / $197.03	Facility		$18.30	$20.04	$197.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.04 / $26.17 / $197.03	Professional		$20.04	$26.17	$197.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.04 / $58.04 / $58.04	Professional		$58.04	$58.04	$58.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.92 / $25.19 / $66.61	Facility		$20.92	$25.19	$66.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.08 / $30.21 / $63.50	Professional		$29.08	$30.21	$63.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $71.91 / $94.48 / $144.35	Facility		$71.91	$94.48	$144.35
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $100.00 / $211.04	Professional		$36.90	$100.00	$211.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.70 / $41.02 / $70.86	Facility		$37.70	$41.02	$70.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.86 / $34.86 / $79.13	Professional		$34.86	$34.86	$79.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $54.62 / $68.28 / $81.94	Professional		$54.62	$68.28	$81.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.97 / $47.80 / $105.83	Professional		$40.97	$47.80	$105.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $115.95 / $324.33 / $324.33	Facility		$115.95	$324.33	$324.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $366.48 / $375.26 / $435.30	Professional		$366.48	$375.26	$435.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.69 / $60.36 / $69.27	Facility		$18.69	$60.36	$69.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.86 / $34.86 / $61.44	Professional		$34.86	$34.86	$61.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $128.88 / $128.88 / $128.88	Professional		$128.88	$128.88	$128.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $54.62 / $61.50 / $79.95	Professional		$54.62	$61.50	$79.95
United Facility/Professional Professional Modifier Low / Median / High Price $26.31 / $28.96 / $68.28	Professional		$26.31	$28.96	$68.28