Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.02 / $244.50 / $686.23	Facility		$68.02	$244.50	$686.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.70 / $93.81 / $361.72	Professional		$61.70	$93.81	$361.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.68 / $62.68 / $62.68	Professional		$62.68	$62.68	$62.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.29 / $296.51 / $876.00	Facility		$32.29	$296.51	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.91 / $89.50 / $178.87	Professional		$61.91	$89.50	$178.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.90 / $100.00 / $441.16	Facility		$58.90	$100.00	$441.16
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $72.68 / $93.63 / $218.31	Professional		$72.68	$93.63	$218.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.18 / $116.57 / $138.26	Facility		$67.18	$116.57	$138.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.82 / $89.70 / $181.37	Professional		$55.82	$89.70	$181.37
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $55.12 / $72.33 / $97.65	Professional		$55.12	$72.33	$97.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.80 / $76.20 / $144.99	Professional		$57.80	$76.20	$144.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $132.05 / $514.16 / $539.87	Facility		$132.05	$514.16	$539.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $480.87 / $480.87 / $489.60	Professional		$480.87	$480.87	$489.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $49.96	Professional		$32.34	$32.34	$49.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.65 / $87.35 / $169.26	Facility		$60.65	$87.35	$169.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.65 / $95.17 / $179.00	Professional		$57.65	$95.17	$179.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $208.15 / $208.15 / $208.15	Professional		$208.15	$208.15	$208.15
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $58.49 / $77.17 / $93.71	Professional		$58.49	$77.17	$93.71
United Facility/Professional Professional Modifier Low / Median / High Price $52.82 / $66.23 / $184.28	Professional		$52.82	$66.23	$184.28