Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.96 / $324.00 / $679.50	Facility		$83.96	$324.00	$679.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.95 / $81.99 / $222.27	Professional		$60.95	$81.99	$222.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.10 / $35.10 / $63.18	Professional		$35.10	$35.10	$63.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.23 / $169.00 / $411.21	Facility		$75.23	$169.00	$411.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.65 / $58.61 / $179.01	Professional		$34.65	$58.61	$179.01
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.90 / $129.44 / $879.69	Facility		$58.90	$129.44	$879.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $43.51 / $62.15 / $190.19	Professional		$43.51	$62.15	$190.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.56 / $120.46 / $244.39	Facility		$51.56	$120.46	$244.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.84 / $75.59 / $345.60	Professional		$45.84	$75.59	$345.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $38.79 / $70.20 / $94.77	Professional		$38.79	$70.20	$94.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.18 / $80.73 / $159.09	Professional		$63.18	$80.73	$159.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $122.15 / $334.95 / $334.95	Facility		$122.15	$334.95	$334.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $526.50 / $577.21 / $577.21	Professional		$526.50	$577.21	$577.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $84.24 / $84.24 / $84.24	Professional		$84.24	$84.24	$84.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.70 / $100.38 / $222.27	Facility		$65.70	$100.38	$222.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.73 / $84.94 / $234.86	Professional		$51.73	$84.94	$234.86
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $246.40 / $246.40 / $246.40	Professional		$246.40	$246.40	$246.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $39.58 / $56.16 / $70.20	Professional		$39.58	$56.16	$70.20
United Facility/Professional Professional Modifier Low / Median / High Price $29.48 / $42.12 / $155.66	Professional		$29.48	$42.12	$155.66