Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $134.69 / $369.99	Facility		$66.00	$134.69	$369.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.65 / $142.35	Professional		$66.00	$66.65	$142.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.28 / $65.28 / $65.28	Professional		$65.28	$65.28	$65.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.02 / $105.42 / $236.32	Facility		$70.02	$105.42	$236.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.26 / $67.72 / $138.35	Professional		$65.26	$67.72	$138.35
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.30 / $71.55 / $100.00	Facility		$67.30	$71.55	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $67.23 / $70.59 / $161.36	Professional		$67.23	$70.59	$161.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.26 / $62.26 / $66.00	Facility		$62.26	$62.26	$66.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.00 / $80.94	Professional		$66.00	$66.00	$80.94
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $64.22 / $65.28 / $86.69	Professional		$64.22	$65.28	$86.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.40 / $79.20 / $145.19	Professional		$59.40	$79.20	$145.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $86.83 / $326.39 / $330.00	Facility		$86.83	$326.39	$330.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $283.51 / $283.51 / $283.51	Professional		$283.51	$283.51	$283.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $131.65 / $131.65	Professional		$60.00	$131.65	$131.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $68.64 / $111.53	Facility		$66.00	$68.64	$111.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.00 / $83.13	Professional		$66.00	$66.00	$83.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $96.70 / $96.70 / $96.70	Professional		$96.70	$96.70	$96.70
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $52.80 / $66.00 / $99.00	Professional		$52.80	$66.00	$99.00
United Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.00 / $125.49	Professional		$66.00	$66.00	$125.49