Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.92 / $188.63 / $464.18	Facility		$59.92	$188.63	$464.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.92 / $52.57 / $61.36	Professional		$46.92	$52.57	$61.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.10 / $43.31 / $45.12	Professional		$36.10	$43.31	$45.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.09 / $170.27 / $422.87	Facility		$79.09	$170.27	$422.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $63.82 / $108.28	Professional		$28.88	$63.82	$108.28
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $91.76 / $123.95 / $198.52	Facility		$91.76	$123.95	$198.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $32.84 / $46.92 / $100.00	Professional		$32.84	$46.92	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.92 / $94.78 / $232.72	Facility		$46.92	$94.78	$232.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.26 / $83.01 / $109.96	Professional		$38.26	$83.01	$109.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $57.75 / $72.19 / $99.00	Professional		$57.75	$72.19	$99.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.75 / $72.19 / $140.77	Professional		$57.75	$72.19	$140.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $140.52 / $342.90 / $342.90	Facility		$140.52	$342.90	$342.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.09 / $36.09 / $36.09	Professional		$36.09	$36.09	$36.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.80 / $72.19 / $172.25	Facility		$48.80	$72.19	$172.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.26 / $68.58 / $86.63	Professional		$39.26	$68.58	$86.63
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $253.38 / $253.38 / $253.38	Professional		$253.38	$253.38	$253.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $57.75 / $64.68 / $80.84	Professional		$57.75	$64.68	$80.84
United Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $30.32 / $121.75	Professional		$30.32	$30.32	$121.75