Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.50 / $40.50 / $222.25	Facility		$40.50	$40.50	$222.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.75 / $40.50 / $222.25	Professional		$31.75	$40.50	$222.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.78 / $57.78 / $57.78	Professional		$57.78	$57.78	$57.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.76 / $111.80 / $244.55	Facility		$30.76	$111.80	$244.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.78 / $40.28 / $75.81	Professional		$39.78	$40.28	$75.81
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $80.88 / $100.00 / $162.83	Facility		$80.88	$100.00	$162.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $41.63 / $102.21 / $238.08	Professional		$41.63	$102.21	$238.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $36.72 / $41.17	Facility		$36.00	$36.72	$41.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.81 / $26.81 / $39.15	Professional		$26.81	$26.81	$39.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $38.10 / $45.72 / $84.74	Professional		$38.10	$45.72	$84.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.22 / $53.93 / $119.41	Professional		$46.22	$53.93	$119.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $165.51 / $365.94 / $365.94	Facility		$165.51	$365.94	$365.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $389.12 / $398.48 / $553.28	Professional		$389.12	$398.48	$553.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $205.41 / $205.41 / $205.41	Professional		$205.41	$205.41	$205.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.72 / $67.45 / $78.06	Facility		$21.72	$67.45	$78.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.81 / $36.72 / $73.31	Professional		$26.81	$36.72	$73.31
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $145.38 / $145.38 / $145.38	Professional		$145.38	$145.38	$145.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $38.10 / $61.63 / $61.63	Professional		$38.10	$61.63	$61.63
United Facility/Professional Professional Modifier Low / Median / High Price $31.11 / $33.65 / $77.04	Professional		$31.11	$33.65	$77.04