Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $112.20 / $549.54	Facility		$46.77	$112.20	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $60.26 / $275.42	Professional		$42.66	$60.26	$275.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $60.26 / $87.10	Professional		$52.48	$60.26	$87.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $57.54 / $147.91	Facility		$44.67	$57.54	$147.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $60.26 / $87.10	Professional		$48.98	$60.26	$87.10
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $234.42 / $309.03	Facility		$97.72	$234.42	$309.03
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $158.49 / $263.03	Professional		$100.00	$158.49	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $67.61 / $70.79	Facility		$60.26	$67.61	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $67.61	Professional		$48.98	$48.98	$67.61
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $70.79 / $85.11	Professional		$63.10	$70.79	$85.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $102.33 / $173.78	Professional		$44.67	$102.33	$173.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Professional		$630.96	$630.96	$630.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $63.10 / $117.49	Facility		$31.62	$63.10	$117.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $70.79	Professional		$48.98	$48.98	$70.79
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $77.62 / $120.23	Professional		$50.12	$77.62	$120.23
United Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $48.98 / $151.36	Facility		$8.13	$48.98	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $53.70 / $112.20	Professional		$37.15	$53.70	$112.20