Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.85 / $34.85 / $181.76	Facility		$34.85	$34.85	$181.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.03 / $34.85 / $54.94	Professional		$33.03	$34.85	$54.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.05 / $79.84 / $187.71	Facility		$29.05	$79.84	$187.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.72 / $38.72 / $54.93	Professional		$38.72	$38.72	$54.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $84.42 / $109.20 / $169.62	Facility		$84.42	$109.20	$169.62
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $55.18 / $100.00 / $188.26	Professional		$55.18	$100.00	$188.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.99 / $40.36 / $77.45	Facility		$14.99	$40.36	$77.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.31 / $34.31 / $40.36	Professional		$34.31	$34.31	$40.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $58.08 / $62.64 / $75.50	Professional		$58.08	$62.64	$75.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $69.00 / $125.18	Professional		$40.65	$69.00	$125.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $117.72 / $283.33 / $283.33	Facility		$117.72	$283.33	$283.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $317.97 / $322.29 / $413.10	Professional		$317.97	$322.29	$413.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $87.17 / $178.69	Professional		$60.00	$87.17	$178.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.99 / $58.08 / $77.45	Facility		$33.99	$58.08	$77.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.31 / $34.85 / $67.67	Professional		$34.31	$34.85	$67.67
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $118.90 / $118.90 / $118.90	Professional		$118.90	$118.90	$118.90
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $46.46 / $62.64 / $81.43	Professional		$46.46	$62.64	$81.43
United Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $37.01 / $70.09	Professional		$25.33	$37.01	$70.09