Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $309.03 / $691.83	Facility		$60.26	$309.03	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $89.13 / $562.34	Professional		$64.57	$89.13	$562.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $93.33 / $134.90	Professional		$42.66	$93.33	$134.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $199.53 / $426.58	Facility		$48.98	$199.53	$426.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $114.82 / $239.88	Professional		$67.61	$114.82	$239.88
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $239.88 / $1,148.15	Facility		$61.66	$239.88	$1,148.15
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $93.33 / $245.47	Professional		$67.61	$93.33	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $147.91 / $309.03	Facility		$64.57	$147.91	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $69.18 / $269.15	Professional		$54.95	$69.18	$269.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $87.10 / $114.82	Professional		$75.86	$87.10	$114.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $93.33 / $147.91	Professional		$75.86	$93.33	$147.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $691.83	Professional		$630.96	$630.96	$691.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $114.82 / $251.19	Facility		$72.44	$114.82	$251.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $91.20 / $239.88	Professional		$54.95	$91.20	$239.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $95.50 / $1,122.02	Professional		$67.61	$95.50	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $85.11 / $85.11	Facility		$35.48	$85.11	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $50.12 / $169.82	Professional		$35.48	$50.12	$169.82