Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $23.06 / $25.50	Facility		$19.50	$23.06	$25.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.13 / $23.13 / $33.61	Professional		$18.13	$23.13	$33.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.73 / $53.73 / $53.73	Professional		$53.73	$53.73	$53.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.52 / $33.90 / $33.90	Facility		$31.52	$33.90	$33.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.01 / $31.22 / $57.35	Professional		$22.01	$31.22	$57.35
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $57.27 / $82.45 / $82.45	Facility		$57.27	$82.45	$82.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $25.85 / $47.55	Professional		$21.27	$25.85	$47.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.16 / $29.16 / $41.91	Professional		$29.16	$29.16	$41.91
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $33.63 / $37.29 / $50.36	Professional		$33.63	$37.29	$50.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $30.83 / $50.36	Professional		$25.33	$30.83	$50.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $151.53 / $151.53 / $151.53	Facility		$151.53	$151.53	$151.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $155.88 / $187.97 / $267.30	Professional		$155.88	$187.97	$267.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.52 / $35.86 / $39.45	Professional		$21.52	$35.86	$39.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.61 / $27.64 / $41.85	Facility		$19.61	$27.64	$41.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.63 / $31.26 / $62.00	Professional		$25.63	$31.26	$62.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $76.61 / $76.61 / $85.03	Professional		$76.61	$76.61	$85.03
United Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $30.56 / $94.33	Professional		$20.72	$30.56	$94.33