Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $403.00 / $2,303.37	Facility		$161.00	$403.00	$2,303.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.00 / $161.19 / $1,295.65	Professional		$161.00	$161.19	$1,295.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $960.17 / $960.17 / $960.17	Professional		$960.17	$960.17	$960.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.00 / $410.37 / $993.40	Facility		$203.00	$410.37	$993.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.50 / $108.03 / $302.25	Professional		$99.50	$108.03	$302.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $145.68 / $568.23	Facility		$92.60	$145.68	$568.23
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $124.89 / $178.41 / $324.27	Professional		$124.89	$178.41	$324.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.01 / $348.41 / $701.53	Facility		$148.01	$348.41	$701.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.88 / $164.80 / $723.18	Professional		$111.88	$164.80	$723.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $118.50 / $201.50 / $272.02	Professional		$118.50	$201.50	$272.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.35 / $231.73 / $443.30	Professional		$181.35	$231.73	$443.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $350.61 / $957.13 / $957.13	Facility		$350.61	$957.13	$957.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,007.50 / $1,007.50 / $1,511.25	Professional		$1,007.50	$1,007.50	$1,511.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $241.80 / $241.80 / $241.80	Professional		$241.80	$241.80	$241.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $170.66 / $241.80 / $610.37	Facility		$170.66	$241.80	$610.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $133.79 / $237.12 / $552.08	Professional		$133.79	$237.12	$552.08
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $707.26 / $707.26 / $707.26	Professional		$707.26	$707.26	$707.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $120.87 / $161.19 / $201.50	Professional		$120.87	$161.19	$201.50
United Facility/Professional Professional Modifier Low / Median / High Price $84.63 / $115.46 / $403.43	Professional		$84.63	$115.46	$403.43