Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.13 / $307.50 / $1,827.00	Facility		$96.13	$307.50	$1,827.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.16 / $105.11 / $491.00	Professional		$84.16	$105.11	$491.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.15 / $79.15 / $80.90	Professional		$79.15	$79.15	$80.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.95 / $426.79 / $876.00	Facility		$52.95	$426.79	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.76 / $133.34 / $259.76	Professional		$97.76	$133.34	$259.76
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.90 / $104.99 / $463.22	Facility		$58.90	$104.99	$463.22
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $82.95 / $101.39 / $249.85	Professional		$82.95	$101.39	$249.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.69 / $190.75 / $226.26	Facility		$104.69	$190.75	$226.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.53 / $123.43 / $268.87	Professional		$81.53	$123.43	$268.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $80.41 / $107.44 / $145.04	Professional		$80.41	$107.44	$145.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.61 / $110.88 / $208.38	Professional		$84.61	$110.88	$208.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $310.94 / $583.00 / $583.00	Facility		$310.94	$583.00	$583.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,285.65 / $1,285.65 / $1,285.65	Professional		$1,285.65	$1,285.65	$1,285.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $55.69	Professional		$32.34	$32.34	$55.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $88.74 / $128.93 / $245.84	Facility		$88.74	$128.93	$245.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $84.38 / $135.88 / $264.39	Professional		$84.38	$135.88	$264.39
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $303.10 / $303.10 / $303.10	Professional		$303.10	$303.10	$303.10
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $86.90 / $119.48 / $458.20	Professional		$86.90	$119.48	$458.20
United Facility/Professional Facility Modifier Low / Median / High Price $866.25 / $866.25 / $866.25	Facility		$866.25	$866.25	$866.25
United Facility/Professional Professional Modifier Low / Median / High Price $71.90 / $94.88 / $267.02	Professional		$71.90	$94.88	$267.02