Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $199.53 / $354.81	Facility		$60.26	$199.53	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $41.69 / $208.93	Professional		$28.84	$41.69	$208.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $58.88	Professional		$40.74	$40.74	$58.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $87.10 / $186.21	Facility		$19.95	$87.10	$186.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $51.29 / $114.82	Professional		$27.54	$51.29	$114.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $104.71 / $489.78	Facility		$56.23	$104.71	$489.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $38.90 / $102.33	Professional		$28.18	$38.90	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $66.07 / $147.91	Facility		$28.18	$66.07	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $33.11 / $109.65	Professional		$22.91	$33.11	$109.65
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $37.15 / $50.12	Professional		$28.84	$37.15	$50.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $40.74 / $70.79	Professional		$33.88	$40.74	$70.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $281.84 / $281.84	Professional		$194.98	$281.84	$281.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $47.86 / $109.65	Facility		$30.90	$47.86	$109.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $40.74 / $107.15	Professional		$22.91	$40.74	$107.15
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $33.88 / $48.98	Professional		$28.84	$33.88	$48.98
United Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $37.15 / $37.15	Facility		$15.49	$37.15	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $20.89 / $72.44	Professional		$15.49	$20.89	$72.44