Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $338.84 / $691.83	Facility		$112.20	$338.84	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $77.62 / $524.81	Professional		$64.57	$77.62	$524.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $229.09 / $489.78	Facility		$45.71	$229.09	$489.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $67.61 / $177.83	Professional		$38.90	$67.61	$177.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $223.87 / $870.96	Facility		$66.07	$223.87	$870.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $74.13 / $208.93	Professional		$51.29	$74.13	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $169.82 / $331.13	Facility		$66.07	$169.82	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $77.62 / $151.36	Professional		$47.86	$77.62	$151.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $100.00 / $158.49	Professional		$97.72	$100.00	$158.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $97.72 / $223.87	Professional		$77.62	$97.72	$223.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Facility		$467.74	$467.74	$467.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $117.49 / $117.49	Professional		$58.88	$117.49	$117.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $100.00 / $257.04	Facility		$48.98	$100.00	$257.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $75.86 / $194.98	Professional		$47.86	$75.86	$194.98
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $53.70 / $97.72	Facility		$43.65	$53.70	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $47.86 / $263.03	Professional		$38.02	$47.86	$263.03