Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $97.72 / $371.54	Professional		$70.79	$97.72	$371.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $162.18 / $229.09	Professional		$51.29	$162.18	$229.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $102.33 / $263.03	Professional		$63.10	$102.33	$263.03
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $102.33 / $234.42	Professional		$77.62	$102.33	$234.42
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 $42.66 / $56.23 / $158.49	Professional		$42.66	$56.23	$158.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $95.50 / $151.36	Professional		$61.66	$95.50	$151.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $97.72 / $154.88	Professional		$69.18	$97.72	$154.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $794.33 / $794.33	Professional		$602.56	$794.33	$794.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $104.71 / $162.18	Facility		$63.10	$104.71	$162.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $75.86 / $208.93	Professional		$42.66	$75.86	$208.93
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $371.54	Professional		$316.23	$316.23	$371.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $85.11 / $125.89	Professional		$61.66	$85.11	$125.89
United Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $61.66 / $213.80	Professional		$48.98	$61.66	$213.80