Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.29 / $11.27 / $104.55	Facility		$10.29	$11.27	$104.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.26 / $12.39 / $67.62	Professional		$11.26	$12.39	$67.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.99 / $28.99 / $30.00	Professional		$28.99	$28.99	$30.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.37 / $47.53 / $115.04	Facility		$18.37	$47.53	$115.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.95 / $24.17 / $33.70	Professional		$16.95	$24.17	$33.70
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $37.24 / $52.46 / $78.04	Facility		$37.24	$52.46	$78.04
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $75.89 / $111.99	Professional		$19.57	$75.89	$111.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.26 / $24.26 / $28.79	Facility		$24.26	$24.26	$28.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.71 / $17.71 / $24.99	Professional		$17.71	$17.71	$24.99
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $23.26 / $39.86	Professional		$19.38	$23.26	$39.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.74 / $25.37 / $55.08	Professional		$21.74	$25.37	$55.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $172.14 / $172.14	Facility		$80.00	$172.14	$172.14
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $180.48 / $180.48 / $271.80	Professional		$180.48	$180.48	$271.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $74.29	Professional		$32.34	$32.34	$74.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.51 / $32.84 / $36.72	Facility		$10.51	$32.84	$36.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.71 / $24.26 / $33.06	Professional		$17.71	$24.26	$33.06
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $68.39 / $68.39 / $68.39	Professional		$68.39	$68.39	$68.39
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $28.99 / $29.07	Professional		$19.38	$28.99	$29.07
United Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $16.55 / $36.95	Professional		$15.04	$16.55	$36.95