Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.86 / $486.82 / $2,221.00	Facility		$103.86	$486.82	$2,221.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.39 / $103.86 / $388.66	Professional		$93.39	$103.86	$388.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.10 / $94.10 / $94.10	Professional		$94.10	$94.10	$94.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.81 / $174.91 / $2,914.00	Facility		$114.81	$174.91	$2,914.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.81 / $150.47 / $293.11	Professional		$114.81	$150.47	$293.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $128.47 / $311.27	Professional		$100.00	$128.47	$311.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $411.42 / $457.91 / $542.37	Facility		$411.42	$457.91	$542.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.00 / $133.62 / $302.13	Professional		$93.00	$133.62	$302.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $92.79 / $125.04 / $168.80	Professional		$92.79	$125.04	$168.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $101.81 / $133.59 / $249.30	Professional		$101.81	$133.59	$249.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $319.05 / $544.97 / $544.97	Facility		$319.05	$544.97	$544.97
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,846.00 / $1,846.00 / $1,846.00	Professional		$1,846.00	$1,846.00	$1,846.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $105.17 / $142.81 / $318.50	Facility		$105.17	$142.81	$318.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $94.05 / $135.36 / $291.64	Professional		$94.05	$135.36	$291.64
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $354.20 / $354.20 / $354.20	Professional		$354.20	$354.20	$354.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $101.05 / $138.94 / $355.83	Professional		$101.05	$138.94	$355.83
United Facility/Professional Professional Modifier Low / Median / High Price $83.79 / $139.40 / $347.55	Professional		$83.79	$139.40	$347.55