Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $28.84 / $186.21	Professional		$19.05	$28.84	$186.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $3.47 / $3.47	Facility		$3.47	$3.47	$3.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $40.74 / $134.90	Professional		$24.55	$40.74	$134.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $91.20	Facility		$77.62	$77.62	$91.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $47.86 / $181.97	Professional		$28.18	$47.86	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $51.29	Facility		$33.11	$33.11	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.11 / $60.26	Professional		$28.18	$33.11	$60.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $58.88	Professional		$48.98	$48.98	$58.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $42.66 / $74.13	Professional		$37.15	$42.66	$74.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $239.88 / $239.88	Facility		$100.00	$239.88	$239.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $35.48 / $66.07	Facility		$20.42	$35.48	$66.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.11 / $40.74	Professional		$28.18	$33.11	$40.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $48.98	Professional		$39.81	$39.81	$48.98
United Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $17.38 / $30.20	Facility		$2.04	$17.38	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $28.18 / $52.48	Professional		$22.39	$28.18	$52.48