Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $199.53 / $645.65	Facility		$54.95	$199.53	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $79.43 / $380.19	Professional		$53.70	$79.43	$380.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $44.67 / $60.26	Professional		$33.88	$44.67	$60.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $158.49 / $338.84	Facility		$38.90	$158.49	$338.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $57.54 / $190.55	Professional		$33.11	$57.54	$190.55
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $190.55 / $912.01	Facility		$60.26	$190.55	$912.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $77.62 / $190.55	Professional		$53.70	$77.62	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $112.20 / $245.47	Facility		$45.71	$112.20	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $67.61 / $112.20	Professional		$39.81	$67.61	$112.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $67.61 / $100.00	Professional		$60.26	$67.61	$100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $67.61 / $147.91	Professional		$53.70	$67.61	$147.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $64.57 / $117.49	Professional		$57.54	$64.57	$117.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $81.28 / $81.28	Professional		$40.74	$81.28	$81.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $81.28 / $190.55	Facility		$56.23	$81.28	$190.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $63.10 / $154.88	Professional		$39.81	$63.10	$154.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $69.18 / $114.82	Professional		$53.70	$69.18	$114.82
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $40.74 / $67.61	Facility		$30.20	$40.74	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $40.74 / $134.90	Professional		$28.18	$40.74	$134.90