Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $794.33 / $1,584.89	Facility		$316.23	$794.33	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $251.19 / $851.14	Professional		$162.18	$251.19	$851.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $389.05 / $512.86	Professional		$165.96	$389.05	$512.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $239.88 / $309.03	Facility		$204.17	$239.88	$309.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $257.04 / $537.03	Professional		$194.98	$257.04	$537.03
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $257.04 / $562.34	Professional		$177.83	$257.04	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $851.14 / $6,165.95	Facility		$758.58	$851.14	$6,165.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $229.09 / $489.78	Professional		$162.18	$229.09	$489.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $229.09 / $309.03	Professional		$114.82	$229.09	$309.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $239.88 / $467.74	Professional		$186.21	$239.88	$467.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $223.87	Professional		$32.36	$33.11	$223.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $257.04 / $562.34	Facility		$186.21	$257.04	$562.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $223.87 / $467.74	Professional		$162.18	$223.87	$467.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Professional		$616.60	$616.60	$616.60
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $213.80 / $281.84	Professional		$169.82	$213.80	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $245.47 / $467.74	Professional		$134.90	$245.47	$467.74