Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.11 / $86.80 / $86.80	Facility		$78.11	$86.80	$86.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.53 / $91.41 / $374.53	Professional		$77.53	$91.41	$374.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.97 / $84.09 / $141.16	Professional		$71.97	$84.09	$141.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.65 / $190.00 / $914.00	Facility		$91.65	$190.00	$914.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $99.82 / $190.77	Professional		$78.93	$99.82	$190.77
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.80 / $100.00 / $377.08	Facility		$98.80	$100.00	$377.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $65.59 / $93.70 / $199.69	Professional		$65.59	$93.70	$199.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.43 / $250.00 / $588.50	Facility		$96.43	$250.00	$588.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.90 / $103.99 / $219.91	Professional		$75.90	$103.99	$219.91
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $72.16 / $98.11 / $132.44	Professional		$72.16	$98.11	$132.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.83 / $99.16 / $201.19	Professional		$79.83	$99.16	$201.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $195.88 / $508.66 / $632.91	Facility		$195.88	$508.66	$632.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $746.29 / $746.29 / $746.29	Professional		$746.29	$746.29	$746.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $82.14 / $106.50 / $193.39	Facility		$82.14	$106.50	$193.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.15 / $116.03 / $223.04	Professional		$80.15	$116.03	$223.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $280.49 / $280.49 / $280.49	Professional		$280.49	$280.49	$280.49
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $79.28 / $109.01 / $286.11	Professional		$79.28	$109.01	$286.11
United Facility/Professional Facility Modifier Low / Median / High Price $99.00 / $154.00 / $154.00	Facility		$99.00	$154.00	$154.00
United Facility/Professional Professional Modifier Low / Median / High Price $62.23 / $83.69 / $177.29	Professional		$62.23	$83.69	$177.29