Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.64 / $437.50 / $735.00	Facility		$84.64	$437.50	$735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.68 / $54.52 / $317.60	Professional		$39.68	$54.52	$317.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.43 / $44.92 / $51.99	Professional		$37.43	$44.92	$51.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.02 / $176.57 / $438.51	Facility		$82.02	$176.57	$438.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.97 / $147.35 / $221.87	Professional		$36.97	$147.35	$221.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.30 / $139.29 / $925.89	Facility		$59.30	$139.29	$925.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $46.40 / $66.28 / $104.30	Professional		$46.40	$66.28	$104.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.68 / $98.29 / $250.60	Facility		$50.68	$98.29	$250.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.81 / $88.82 / $117.02	Professional		$48.81	$88.82	$117.02
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $66.54 / $74.86 / $99.00	Professional		$66.54	$74.86	$99.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.89 / $74.86 / $163.19	Professional		$59.89	$74.86	$163.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $125.97 / $355.59 / $355.59	Facility		$125.97	$355.59	$355.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $67.37 / $89.84 / $131.94	Professional		$67.37	$89.84	$131.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.91 / $44.91 / $44.91	Professional		$44.91	$44.91	$44.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.52 / $78.20 / $187.15	Facility		$54.52	$78.20	$187.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.95 / $74.86 / $117.02	Professional		$48.95	$74.86	$117.02
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $262.75 / $262.75 / $262.75	Professional		$262.75	$262.75	$262.75
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $59.89 / $67.87 / $93.16	Professional		$59.89	$67.87	$93.16
United Facility/Professional Professional Modifier Low / Median / High Price $31.44 / $42.83 / $150.59	Professional		$31.44	$42.83	$150.59