Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $323.59 / $630.96	Facility		$128.82	$323.59	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $72.44 / $199.53	Professional		$61.66	$72.44	$199.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $87.10 / $416.87	Facility		$75.86	$87.10	$416.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $109.65 / $223.87	Professional		$75.86	$109.65	$223.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $109.65 / $239.88	Professional		$79.43	$109.65	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $316.23 / $6,165.95	Facility		$281.84	$316.23	$6,165.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $89.13 / $181.97	Professional		$61.66	$89.13	$181.97
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $83.18 / $112.20	Professional		$61.66	$83.18	$112.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $87.10 / $165.96	Professional		$67.61	$87.10	$165.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $97.72 / $213.80	Facility		$69.18	$97.72	$213.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $89.13 / $177.83	Professional		$61.66	$89.13	$177.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $93.33 / $331.13	Professional		$67.61	$93.33	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $91.20 / $173.78	Professional		$54.95	$91.20	$173.78