Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $263.03 / $549.54	Facility		$74.13	$263.03	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $47.86 / $295.12	Professional		$37.15	$47.86	$295.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $28.84 / $54.95	Professional		$21.88	$28.84	$54.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $112.20 / $239.88	Facility		$27.54	$112.20	$239.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $40.74 / $134.90	Professional		$23.44	$40.74	$134.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $134.90 / $645.65	Facility		$60.26	$134.90	$645.65
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $54.95 / $134.90	Professional		$38.02	$54.95	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $79.43 / $173.78	Facility		$31.62	$79.43	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $46.77 / $83.18	Professional		$28.18	$46.77	$83.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $47.86 / $75.86	Professional		$34.67	$47.86	$75.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $47.86 / $104.71	Professional		$38.02	$47.86	$104.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $44.67 / $83.18	Professional		$40.74	$44.67	$83.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $57.54 / $57.54	Professional		$28.84	$57.54	$57.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $57.54 / $134.90	Facility		$38.02	$57.54	$134.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $43.65 / $109.65	Professional		$28.18	$43.65	$109.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $48.98 / $81.28	Professional		$38.02	$48.98	$81.28
United Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $28.84 / $47.86	Facility		$21.38	$28.84	$47.86
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.84 / $95.50	Professional		$19.95	$28.84	$95.50