Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $631.90 / $1,611.00	Facility		$110.00	$631.90	$1,611.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $131.41 / $665.00	Professional		$89.13	$131.41	$665.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $274.41 / $274.41 / $274.41	Professional		$274.41	$274.41	$274.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.60 / $475.00 / $706.00	Facility		$33.60	$475.00	$706.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.16 / $134.44 / $288.75	Professional		$89.16	$134.44	$288.75
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.30 / $101.04 / $600.77	Facility		$59.30	$101.04	$600.77
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $138.51 / $338.62	Professional		$100.00	$138.51	$338.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.05 / $269.20 / $483.01	Facility		$135.05	$269.20	$483.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.88 / $179.88 / $416.83	Professional		$114.88	$179.88	$416.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $163.22 / $220.36	Professional		$76.09	$163.22	$220.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.47 / $175.94 / $332.27	Professional		$134.47	$175.94	$332.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $253.62 / $570.73 / $669.70	Facility		$253.62	$570.73	$669.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $740.76 / $740.76 / $1,055.40	Professional		$740.76	$740.76	$1,055.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $94.02	Professional		$32.34	$32.34	$94.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.87 / $168.17 / $286.06	Facility		$112.87	$168.17	$286.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $121.92 / $193.07 / $406.23	Professional		$121.92	$193.07	$406.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $480.93 / $480.93 / $480.93	Professional		$480.93	$480.93	$480.93
United Facility/Professional Professional Modifier Low / Median / High Price $93.22 / $146.16 / $485.57	Professional		$93.22	$146.16	$485.57