Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.27 / $60.68 / $9,187.50	Facility		$28.27	$60.68	$9,187.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $32.18 / $11,074.00	Professional		$27.99	$32.18	$11,074.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.62 / $28.62 / $28.62	Professional		$28.62	$28.62	$28.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.69 / $44.71 / $109.68	Facility		$29.69	$44.71	$109.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $28.62 / $71.56	Professional		$27.99	$28.62	$71.56
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $57.34 / $82.36 / $100.00	Facility		$57.34	$82.36	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $30.37 / $75.52	Professional		$28.52	$30.37	$75.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.33 / $22.33 / $27.99	Facility		$22.33	$22.33	$27.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $27.99 / $32.24	Professional		$27.99	$27.99	$32.24
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $18.97 / $24.93 / $29.92	Professional		$18.97	$24.93	$29.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.19 / $33.59 / $63.43	Professional		$25.19	$33.59	$63.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $96.89 / $415.50 / $415.50	Facility		$96.89	$415.50	$415.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $109.60 / $109.60 / $109.60	Professional		$109.60	$109.60	$109.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.97 / $38.88 / $60.00	Professional		$18.97	$38.88	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.99 / $28.27 / $48.46	Facility		$27.99	$28.27	$48.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.71 / $27.99 / $30.37	Professional		$23.71	$27.99	$30.37
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $188.64 / $188.64 / $188.64	Professional		$188.64	$188.64	$188.64
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $27.99 / $41.99	Professional		$22.39	$27.99	$41.99
United Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $27.99 / $53.89	Professional		$27.99	$27.99	$53.89