Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.18 / $201.00 / $541.67	Facility		$51.18	$201.00	$541.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.28 / $62.00 / $101.67	Professional		$57.28	$62.00	$101.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.68 / $40.42 / $60.62	Professional		$33.68	$40.42	$60.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.81 / $162.47 / $394.57	Facility		$73.81	$162.47	$394.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.26 / $53.06 / $153.10	Professional		$33.26	$53.06	$153.10
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.30 / $130.32 / $854.52	Facility		$59.30	$130.32	$854.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $41.75 / $59.64 / $110.31	Professional		$41.75	$59.64	$110.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.62 / $88.44 / $225.47	Facility		$46.62	$88.44	$225.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.93 / $81.96 / $119.87	Professional		$43.93	$81.96	$119.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $59.88 / $67.36 / $99.00	Professional		$59.88	$67.36	$99.00
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $63.61 / $63.61 / $63.61	Professional		$63.61	$63.61	$63.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.89 / $67.36 / $146.84	Professional		$53.89	$67.36	$146.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $141.00 / $321.95 / $321.95	Facility		$141.00	$321.95	$321.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $60.62 / $84.20 / $127.84	Professional		$60.62	$84.20	$127.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.41 / $40.41 / $40.41	Professional		$40.41	$40.41	$40.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.88 / $77.45 / $173.54	Facility		$55.88	$77.45	$173.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.75 / $67.36 / $134.72	Professional		$44.75	$67.36	$134.72
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $236.43 / $236.43 / $236.43	Professional		$236.43	$236.43	$236.43
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $53.89 / $67.36 / $94.30	Professional		$53.89	$67.36	$94.30
United Facility/Professional Professional Modifier Low / Median / High Price $28.29 / $40.42 / $133.83	Professional		$28.29	$40.42	$133.83