Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $64.57 / $83.18	Professional		$30.90	$64.57	$83.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $79.43	Professional		$77.62	$77.62	$79.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $81.28 / $104.71	Professional		$28.84	$81.28	$104.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $263.03 / $380.19	Professional		$112.20	$263.03	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $44.67 / $112.20	Professional		$21.38	$44.67	$112.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $186.21	Professional		$91.20	$91.20	$186.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $562.34 / $562.34	Professional		$501.19	$562.34	$562.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $89.13 / $104.71	Facility		$43.65	$89.13	$104.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $79.43	Professional		$37.15	$37.15	$79.43
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $37.15 / $89.13	Professional		$34.67	$37.15	$89.13