Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.26 / $85.52 / $332.01	Facility		$63.26	$85.52	$332.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.62 / $63.26 / $126.52	Professional		$50.62	$63.26	$126.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.73 / $71.14 / $78.25	Professional		$70.73	$71.14	$78.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.04 / $174.60 / $365.30	Facility		$48.04	$174.60	$365.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.52 / $64.01 / $109.64	Professional		$57.52	$64.01	$109.64
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.43 / $136.24 / $243.29	Facility		$96.43	$136.24	$243.29
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $62.19 / $152.68 / $355.64	Professional		$62.19	$152.68	$355.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.82 / $65.81 / $91.42	Facility		$53.82	$65.81	$91.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.04 / $48.04 / $71.19	Professional		$48.04	$48.04	$71.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $61.51 / $73.81 / $126.59	Professional		$61.51	$73.81	$126.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.05 / $80.56 / $178.37	Professional		$69.05	$80.56	$178.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $198.06 / $549.05 / $549.05	Facility		$198.06	$549.05	$549.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $593.47 / $593.47 / $863.10	Professional		$593.47	$593.47	$863.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $243.04 / $243.04 / $243.04	Professional		$243.04	$243.04	$243.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.93 / $101.74 / $118.56	Facility		$33.93	$101.74	$118.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.04 / $65.81 / $109.53	Professional		$48.04	$65.81	$109.53
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $217.19 / $217.19 / $217.19	Professional		$217.19	$217.19	$217.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $61.51 / $92.06 / $92.27	Professional		$61.51	$92.06	$92.27
United Facility/Professional Facility Modifier Low / Median / High Price $119.37 / $140.44 / $140.44	Facility		$119.37	$140.44	$140.44
United Facility/Professional Professional Modifier Low / Median / High Price $47.72 / $52.55 / $115.08	Professional		$47.72	$52.55	$115.08