Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.13 / $456.10 / $1,069.50	Facility		$85.13	$456.10	$1,069.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.39 / $58.41 / $79.51	Professional		$40.39	$58.41	$79.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.75 / $37.28 / $62.14	Professional		$20.75	$37.28	$62.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.09 / $149.88 / $364.00	Facility		$68.09	$149.88	$364.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.92 / $87.63 / $136.97	Professional		$31.92	$87.63	$136.97
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.30 / $109.02 / $724.67	Facility		$59.30	$109.02	$724.67
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $49.07 / $70.09 / $145.41	Professional		$49.07	$70.09	$145.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.39 / $81.59 / $203.36	Facility		$40.39	$81.59	$203.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.99 / $71.45 / $94.48	Professional		$37.99	$71.45	$94.48
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $43.50 / $62.14 / $99.00	Professional		$43.50	$62.14	$99.00
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $87.12 / $87.12 / $87.12	Professional		$87.12	$87.12	$87.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.85 / $62.14 / $136.71	Professional		$47.85	$62.14	$136.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $99.42 / $295.17 / $295.17	Facility		$99.42	$295.17	$295.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $55.93 / $77.68 / $122.90	Professional		$55.93	$77.68	$122.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.28 / $37.28 / $37.28	Professional		$37.28	$37.28	$37.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.71 / $68.34 / $157.12	Facility		$49.71	$68.34	$157.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.99 / $62.14 / $87.79	Professional		$37.99	$62.14	$87.79
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $218.11 / $218.11 / $218.11	Professional		$218.11	$218.11	$218.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $44.37 / $49.71 / $62.14	Professional		$44.37	$49.71	$62.14
United Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $33.52 / $107.74	Professional		$26.10	$33.52	$107.74