Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.77 / $244.71 / $244.71	Facility		$220.77	$244.71	$244.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.58 / $288.08 / $460.78	Professional		$218.58	$288.08	$460.78
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $104.54 / $138.91 / $203.65	Professional	52	$104.54	$138.91	$203.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $245.75 / $276.47 / $359.15	Professional		$245.75	$276.47	$359.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.79 / $263.79 / $1,193.84	Facility		$263.79	$263.79	$1,193.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $227.33 / $297.95 / $555.66	Professional		$227.33	$297.95	$555.66
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $171.40 / $250.05 / $571.46	Professional		$171.40	$250.05	$571.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.08 / $333.08 / $333.08	Facility		$333.08	$333.08	$333.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.50 / $322.86 / $673.84	Professional		$239.50	$322.86	$673.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $190.90 / $334.10 / $451.04	Professional		$190.90	$334.10	$451.04
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $294.80 / $294.80 / $294.80	Professional		$294.80	$294.80	$294.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $270.64 / $337.91 / $537.58	Professional		$270.64	$337.91	$537.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $675.08 / $1,332.16 / $1,459.15	Facility		$675.08	$1,332.16	$1,459.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,893.50 / $1,893.50 / $2,394.44	Professional		$1,893.50	$1,893.50	$2,394.44
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 $264.29 / $360.46 / $500.59	Facility		$264.29	$360.46	$500.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $247.00 / $366.95 / $730.30	Professional		$247.00	$366.95	$730.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $778.03 / $778.03 / $778.03	Professional		$778.03	$778.03	$778.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $190.90 / $269.99 / $371.24	Professional		$190.90	$269.99	$371.24
United Facility/Professional Professional Modifier Low / Median / High Price $188.20 / $250.49 / $491.99	Professional		$188.20	$250.49	$491.99