Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $204.17 / $1,047.13	Facility		$61.66	$204.17	$1,047.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $87.10 / $467.74	Professional		$57.54	$87.10	$467.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $213.80 / $457.09	Facility		$52.48	$213.80	$457.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $83.18 / $181.97	Professional		$69.18	$83.18	$181.97
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $208.93 / $257.04	Facility		$66.07	$208.93	$257.04
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $93.33 / $199.53	Professional		$72.44	$93.33	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $162.18 / $380.19	Facility		$69.18	$162.18	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $72.44 / $331.13	Professional		$51.29	$72.44	$331.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $91.20 / $123.03	Professional		$66.07	$91.20	$123.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $100.00 / $173.78	Professional		$83.18	$100.00	$173.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $691.83 / $691.83	Professional		$457.09	$691.83	$691.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $109.65 / $275.42	Facility		$69.18	$109.65	$275.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $91.20 / $288.40	Professional		$54.95	$91.20	$288.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $83.18 / $112.20	Professional		$66.07	$83.18	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $91.20 / $91.20	Facility		$38.90	$91.20	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $52.48 / $181.97	Professional		$38.90	$52.48	$181.97