Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.01 / $477.73 / $1,827.00	Facility		$93.01	$477.73	$1,827.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.89 / $102.31 / $536.00	Professional		$83.89	$102.31	$536.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $139.87 / $139.87 / $139.87	Professional		$139.87	$139.87	$139.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.97 / $475.00 / $706.00	Facility		$27.97	$475.00	$706.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.75 / $119.95 / $244.54	Professional		$83.75	$119.95	$244.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.30 / $101.04 / $561.40	Facility		$59.30	$101.04	$561.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $81.79 / $105.79 / $264.52	Professional		$81.79	$105.79	$264.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.04 / $269.20 / $452.00	Facility		$130.04	$269.20	$452.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.64 / $135.57 / $308.30	Professional		$91.64	$135.57	$308.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $67.81 / $128.41 / $173.37	Professional		$67.81	$128.41	$173.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $99.32 / $129.41 / $248.03	Professional		$99.32	$129.41	$248.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $211.58 / $514.16 / $539.87	Facility		$211.58	$514.16	$539.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $652.77 / $652.77 / $829.73	Professional		$652.77	$652.77	$829.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $78.97	Professional		$32.34	$32.34	$78.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $96.71 / $136.06 / $239.77	Facility		$96.71	$136.06	$239.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $94.62 / $151.57 / $302.39	Professional		$94.62	$151.57	$302.39
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $351.70 / $351.70 / $351.70	Professional		$351.70	$351.70	$351.70
United Facility/Professional Professional Modifier Low / Median / High Price $74.18 / $107.19 / $317.12	Professional		$74.18	$107.19	$317.12