Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $52.48 / $331.13	Professional		$38.02	$52.48	$331.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $6.46 / $6.46	Facility		$6.46	$6.46	$6.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $74.13 / $190.55	Professional		$41.69	$74.13	$190.55
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $162.18	Facility		$131.83	$131.83	$162.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $89.13 / $371.54	Professional		$66.07	$89.13	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $81.28	Facility		$60.26	$60.26	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $60.26 / $109.65	Professional		$51.29	$60.26	$109.65
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $102.33	Professional		$87.10	$87.10	$102.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $75.86 / $128.82	Professional		$64.57	$75.86	$128.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $63.10 / $114.82	Facility		$39.81	$63.10	$114.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $60.26 / $79.43	Professional		$51.29	$60.26	$79.43
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $87.10	Professional		$72.44	$72.44	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $32.36 / $57.54	Facility		$3.98	$32.36	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $51.29 / $107.15	Professional		$42.66	$51.29	$107.15