Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.83 / $444.13 / $2,221.00	Facility		$95.83	$444.13	$2,221.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.04 / $125.29 / $461.00	Professional		$91.04	$125.29	$461.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $252.22 / $252.22 / $252.22	Professional		$252.22	$252.22	$252.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.95 / $158.37 / $2,914.00	Facility		$103.95	$158.37	$2,914.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.11 / $126.94 / $261.95	Professional		$103.11	$126.94	$261.95
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $93.92 / $111.83 / $273.76	Professional		$93.92	$111.83	$273.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $373.27 / $415.46 / $492.06	Facility		$373.27	$415.46	$492.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.06 / $123.30 / $288.14	Professional		$88.06	$123.30	$288.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $79.34 / $126.13 / $170.28	Professional		$79.34	$126.13	$170.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.21 / $132.44 / $249.96	Professional		$102.21	$132.44	$249.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $269.95 / $547.05 / $547.05	Facility		$269.95	$547.05	$547.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $664.64 / $664.64 / $902.48	Professional		$664.64	$664.64	$902.48
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 $96.51 / $132.36 / $210.27	Facility		$96.51	$132.36	$210.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $88.80 / $127.59 / $273.73	Professional		$88.80	$127.59	$273.73
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $101.90 / $140.12 / $193.47	Professional		$101.90	$140.12	$193.47
United Facility/Professional Professional Modifier Low / Median / High Price $75.50 / $136.24 / $294.08	Professional		$75.50	$136.24	$294.08