Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.78 / $81.92 / $191.22	Professional		$69.78	$81.92	$191.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.53 / $77.53 / $181.51	Professional		$77.53	$77.53	$181.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.29 / $91.25 / $216.11	Professional		$77.29	$91.25	$216.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $374.48 / $844.76 / $1,023.15	Facility		$374.48	$844.76	$1,023.15
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $62.04 / $88.63 / $123.12	Professional		$62.04	$88.63	$123.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.48 / $103.95 / $131.24	Facility		$89.48	$103.95	$131.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.70 / $106.24 / $255.48	Professional		$75.70	$106.24	$255.48
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $19.25 / $85.65 / $112.39	Professional		$19.25	$85.65	$112.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.19 / $82.09 / $136.85	Professional		$67.19	$82.09	$136.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $336.07 / $371.45 / $371.45	Facility		$336.07	$371.45	$371.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $468.12 / $557.10 / $700.28	Professional		$468.12	$557.10	$700.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.15 / $89.72 / $123.92	Facility		$69.15	$89.72	$123.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.70 / $107.67 / $233.61	Professional		$75.70	$107.67	$233.61
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $251.06 / $251.06 / $297.94	Professional		$251.06	$251.06	$297.94
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $77.90 / $95.22 / $113.60	Professional		$77.90	$95.22	$113.60
United Facility/Professional Professional Modifier Low / Median / High Price $66.56 / $83.15 / $205.80	Professional		$66.56	$83.15	$205.80