Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.98 / $184.40 / $654.84	Facility		$67.98	$184.40	$654.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.14 / $57.28 / $77.04	Professional		$34.14	$57.28	$77.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $38.65 / $44.73	Professional		$38.65	$38.65	$44.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.56 / $155.36 / $377.29	Facility		$70.56	$155.36	$377.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.81 / $50.74 / $147.62	Professional		$31.81	$50.74	$147.62
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.30 / $124.62 / $817.11	Facility		$59.30	$124.62	$817.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $39.92 / $57.03 / $105.47	Professional		$39.92	$57.03	$105.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.59 / $84.58 / $215.63	Facility		$44.59	$84.58	$215.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.02 / $76.45 / $98.09	Professional		$42.02	$76.45	$98.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $57.26 / $64.41 / $99.00	Professional		$57.26	$64.41	$99.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.53 / $64.41 / $140.41	Professional		$51.53	$64.41	$140.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $134.72 / $307.83 / $307.83	Facility		$134.72	$307.83	$307.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.64 / $38.64 / $38.64	Professional		$38.64	$38.64	$38.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.32 / $70.84 / $163.29	Facility		$53.32	$70.84	$163.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.89 / $64.41 / $128.82	Professional		$42.89	$64.41	$128.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $226.07 / $226.07 / $226.07	Professional		$226.07	$226.07	$226.07
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $51.53 / $58.41 / $80.16	Professional		$51.53	$58.41	$80.16
United Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $38.32 / $123.73	Professional		$27.05	$38.32	$123.73