Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.32 / $43.32 / $208.10	Facility		$43.32	$43.32	$208.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.15 / $43.32 / $208.10	Professional		$34.15	$43.32	$208.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.15 / $44.15 / $50.74	Professional		$44.15	$44.15	$50.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.90 / $110.56 / $228.93	Facility		$32.90	$110.56	$228.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.18 / $42.24 / $70.31	Professional		$35.18	$42.24	$70.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $75.73 / $99.00 / $152.49	Facility		$75.73	$99.00	$152.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $38.97 / $100.00 / $222.91	Professional		$38.97	$100.00	$222.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.72 / $46.45 / $46.45	Facility		$33.72	$46.45	$46.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.90 / $33.90 / $83.63	Professional		$33.90	$33.90	$83.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $46.26 / $79.33	Professional		$38.54	$46.26	$79.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.27 / $50.48 / $111.79	Professional		$43.27	$50.48	$111.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $140.38 / $383.48 / $383.48	Facility		$140.38	$383.48	$383.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $475.99 / $475.99 / $540.90	Professional		$475.99	$475.99	$540.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.83 / $150.83 / $150.83	Professional		$150.83	$150.83	$150.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.23 / $63.77 / $75.73	Facility		$23.23	$63.77	$75.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.90 / $33.90 / $91.53	Professional		$33.90	$33.90	$91.53
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $136.13 / $136.13 / $136.13	Professional		$136.13	$136.13	$136.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $57.70 / $57.83	Professional		$38.54	$57.70	$57.83
United Facility/Professional Professional Modifier Low / Median / High Price $32.67 / $35.97 / $72.12	Professional		$32.67	$35.97	$72.12