Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.51 / $364.85 / $1,029.30	Facility		$67.51	$364.85	$1,029.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.56 / $107.68 / $418.00	Professional		$62.56	$107.68	$418.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.11 / $175.85 / $241.96	Professional		$89.11	$175.85	$241.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,464.00 / $8,976.00	Facility		$1,723.00	$4,464.00	$8,976.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.95 / $94.33 / $190.39	Professional		$66.95	$94.33	$190.39
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $1,581.82	Facility		$66.00	$100.00	$1,581.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $66.53 / $95.04 / $187.21	Professional		$66.53	$95.04	$187.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $126.41 / $226.41	Facility		$56.00	$126.41	$226.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.01 / $104.09 / $196.22	Professional		$72.01	$104.09	$196.22
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $81.12 / $101.40 / $149.11	Professional		$81.12	$101.40	$149.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.27 / $109.75 / $192.06	Professional		$70.27	$109.75	$192.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $320.16 / $348.89	Facility		$55.00	$320.16	$348.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $495.76 / $720.00 / $852.00	Professional		$495.76	$720.00	$852.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $71.87 / $103.06 / $155.49	Facility		$71.87	$103.06	$155.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.89 / $112.31 / $229.16	Professional		$72.89	$112.31	$229.16
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $221.16 / $221.16 / $311.32	Professional		$221.16	$221.16	$311.32
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $73.68 / $112.95 / $166.86	Professional		$73.68	$112.95	$166.86
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,485.00 / $5,830.00	Facility		$408.00	$1,485.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $74.25 / $96.74 / $214.46	Professional		$74.25	$96.74	$214.46