Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.62 / $470.16 / $1,827.00	Facility		$79.62	$470.16	$1,827.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.53 / $80.56 / $365.47	Professional		$75.53	$80.56	$365.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $206.66 / $206.66 / $206.66	Professional		$206.66	$206.66	$206.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.16 / $193.56 / $497.11	Facility		$100.16	$193.56	$497.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.76 / $87.54 / $188.83	Professional		$37.76	$87.54	$188.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.90 / $124.23 / $844.17	Facility		$58.90	$124.23	$844.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $86.71 / $96.34 / $209.71	Professional		$86.71	$96.34	$209.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.04 / $347.98 / $629.54	Facility		$192.04	$347.98	$629.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.90 / $82.59 / $147.63	Professional		$70.90	$82.59	$147.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $94.41 / $94.41 / $127.45	Professional		$94.41	$94.41	$127.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.97 / $108.57 / $184.10	Professional		$84.97	$108.57	$184.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $151.06 / $448.45 / $448.45	Facility		$151.06	$448.45	$448.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $708.08 / $819.00 / $819.00	Professional		$708.08	$819.00	$819.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $193.54 / $193.54 / $193.54	Professional		$193.54	$193.54	$193.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $94.41 / $148.02 / $463.59	Facility		$94.41	$148.02	$463.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.33 / $90.18 / $113.29	Professional		$73.33	$90.18	$113.29
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $291.72 / $291.72 / $291.72	Professional		$291.72	$291.72	$291.72
United Facility/Professional Professional Modifier Low / Median / High Price $39.53 / $42.96 / $200.46	Professional		$39.53	$42.96	$200.46