Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.32 / $95.85 / $652.38	Facility		$92.32	$95.85	$652.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.56 / $105.43 / $417.20	Professional		$76.56	$105.43	$417.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.05 / $151.37 / $176.55	Professional		$93.05	$151.37	$176.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.36 / $126.60 / $143.37	Facility		$125.36	$126.60	$143.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.09 / $132.40 / $321.24	Professional		$109.09	$132.40	$321.24
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $163.95 / $206.07 / $330.05	Facility		$163.95	$206.07	$330.05
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $76.39 / $109.13 / $266.02	Professional		$76.39	$109.13	$266.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.10 / $124.10 / $124.10	Facility		$124.10	$124.10	$124.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.42 / $96.42 / $96.42	Professional		$96.42	$96.42	$96.42
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $121.92 / $134.11 / $164.59	Professional		$121.92	$134.11	$164.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $101.33 / $134.68 / $219.46	Professional		$101.33	$134.68	$219.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $181.44 / $544.91 / $544.91	Facility		$181.44	$544.91	$544.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $698.47 / $698.47 / $879.98	Professional		$698.47	$698.47	$879.98
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 $100.26 / $132.34 / $187.77	Facility		$100.26	$132.34	$187.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $96.42 / $96.42 / $273.67	Professional		$96.42	$96.42	$273.67
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $363.77 / $363.77 / $363.77	Professional		$363.77	$363.77	$363.77
United Facility/Professional Professional Modifier Low / Median / High Price $86.24 / $117.29 / $270.08	Professional		$86.24	$117.29	$270.08