Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $87.10 / $354.81	Professional		$57.54	$87.10	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $154.88 / $194.98	Professional		$39.81	$154.88	$194.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $138.04 / $346.74	Professional		$77.62	$138.04	$346.74
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $138.04 / $316.23	Professional		$107.15	$138.04	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $67.61 / $173.78	Professional		$47.86	$67.61	$173.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $91.20 / $123.03	Professional		$69.18	$91.20	$123.03
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 $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $1,202.26	Professional		$660.69	$660.69	$1,202.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $104.71 / $218.78	Facility		$69.18	$104.71	$218.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $102.33 / $239.88	Professional		$47.86	$102.33	$239.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $102.33	Professional		$74.13	$74.13	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $63.10 / $218.78	Professional		$53.70	$63.10	$218.78