Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.63 / $74.31 / $175.14	Professional		$43.63	$74.31	$175.14
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $71.94 / $78.04 / $153.83	Professional	25	$71.94	$78.04	$153.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.22 / $76.79 / $190.00	Professional		$69.22	$76.79	$190.00
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $73.83 / $73.83 / $81.01	Professional	25	$73.83	$73.83	$81.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.74 / $46.74 / $46.74	Facility		$46.74	$46.74	$46.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.45 / $68.25 / $158.00	Professional		$41.45	$68.25	$158.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $95.10 / $136.28 / $370.72	Facility		$95.10	$136.28	$370.72
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $36.34 / $57.44 / $106.64	Professional		$36.34	$57.44	$106.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.36 / $76.90 / $166.75	Professional		$46.36	$76.90	$166.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $56.60 / $115.68	Professional		$37.15	$56.60	$115.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.78 / $84.78 / $172.30	Professional		$44.78	$84.78	$172.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $202.83 / $223.73 / $223.73	Facility		$202.83	$223.73	$223.73
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $308.83 / $544.05 / $690.83	Professional		$308.83	$544.05	$690.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.69 / $70.34 / $126.19	Facility		$45.69	$70.34	$126.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.36 / $81.94 / $169.92	Professional		$46.36	$81.94	$169.92
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $155.56 / $155.56 / $279.38	Professional		$155.56	$155.56	$279.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $46.81 / $57.21 / $116.94	Professional		$46.81	$57.21	$116.94
United Facility/Professional Facility Modifier Low / Median / High Price $85.05 / $85.05 / $85.05	Facility		$85.05	$85.05	$85.05
United Facility/Professional Professional Modifier Low / Median / High Price $54.07 / $73.47 / $140.16	Professional		$54.07	$73.47	$140.16