Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.89 / $61.98 / $407.12	Facility		$38.89	$61.98	$407.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.09 / $53.80 / $103.75	Professional		$37.09	$53.80	$103.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.79 / $58.79 / $58.79	Professional		$58.79	$58.79	$58.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.01 / $58.03 / $65.48	Facility		$50.01	$58.03	$65.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.01 / $74.45 / $131.66	Professional		$50.01	$74.45	$131.66
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $86.38 / $122.44 / $205.06	Facility		$86.38	$122.44	$205.06
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $48.92 / $69.88 / $144.85	Professional		$48.92	$69.88	$144.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.91 / $52.91 / $52.91	Facility		$52.91	$52.91	$52.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.14 / $57.14 / $57.14	Professional		$57.14	$57.14	$57.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $43.02 / $68.83 / $104.56	Professional		$43.02	$68.83	$104.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.86 / $65.37 / $117.59	Professional		$38.86	$65.37	$117.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $193.75 / $193.75	Facility		$80.00	$193.75	$193.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $254.90 / $411.10 / $526.28	Professional		$254.90	$411.10	$526.28
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 $40.42 / $64.11 / $101.75	Facility		$40.42	$64.11	$101.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.14 / $57.14 / $158.76	Professional		$57.14	$57.14	$158.76
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $138.26 / $138.26 / $217.60	Professional		$138.26	$138.26	$217.60
United Facility/Professional Professional Modifier Low / Median / High Price $50.49 / $67.48 / $159.00	Professional		$50.49	$67.48	$159.00