Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.38 / $406.17 / $1,253.90	Facility		$148.38	$406.17	$1,253.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.98 / $130.94 / $648.74	Professional		$67.98	$130.94	$648.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.15 / $203.98 / $207.83	Professional		$64.15	$203.98	$207.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.50 / $288.81 / $642.73	Facility		$137.50	$288.81	$642.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.35 / $145.08 / $355.27	Professional		$63.35	$145.08	$355.27
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.70 / $100.00 / $1,583.44	Facility		$58.70	$100.00	$1,583.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $79.51 / $113.59 / $436.54	Professional		$79.51	$113.59	$436.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.23 / $221.82 / $446.64	Facility		$94.23	$221.82	$446.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.82 / $141.88 / $534.00	Professional		$83.82	$141.88	$534.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $114.04 / $131.15 / $173.19	Professional		$114.04	$131.15	$173.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $115.46 / $151.38 / $290.73	Professional		$115.46	$151.38	$290.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $223.22 / $609.38 / $609.38	Facility		$223.22	$609.38	$609.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $641.45 / $641.45 / $962.18	Professional		$641.45	$641.45	$962.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $153.94 / $153.94 / $153.94	Professional		$153.94	$153.94	$153.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $119.25 / $166.78 / $378.84	Facility		$119.25	$166.78	$378.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.59 / $153.94 / $393.20	Professional		$89.59	$153.94	$393.20
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $450.29 / $450.29 / $450.29	Professional		$450.29	$450.29	$450.29
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $102.63 / $127.72 / $193.87	Professional		$102.63	$127.72	$193.87
United Facility/Professional Professional Modifier Low / Median / High Price $53.88 / $73.31 / $257.48	Professional		$53.88	$73.31	$257.48