Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.41 / $222.26 / $525.90	Facility		$64.41	$222.26	$525.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.03 / $67.63 / $276.75	Professional		$37.03	$67.63	$276.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.33 / $48.43 / $92.87	Professional		$30.33	$48.43	$92.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.78 / $293.00 / $876.00	Facility		$69.78	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.73 / $83.85 / $151.60	Professional		$43.73	$83.85	$151.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $43.81 / $62.21 / $124.48	Professional		$43.81	$62.21	$124.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.54 / $41.54 / $41.54	Facility		$41.54	$41.54	$41.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.50 / $77.31 / $179.38	Professional		$44.50	$77.31	$179.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $39.93 / $53.91 / $68.11	Professional		$39.93	$53.91	$68.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.11 / $39.25 / $98.00	Professional		$32.11	$39.25	$98.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $83.79 / $116.89 / $267.00	Facility		$83.79	$116.89	$267.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $568.04 / $568.04 / $568.04	Professional		$568.04	$568.04	$568.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $62.39	Professional		$32.34	$32.34	$62.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.82 / $44.23 / $91.38	Facility		$33.82	$44.23	$91.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.75 / $77.31 / $124.74	Professional		$43.75	$77.31	$124.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $124.54 / $124.54 / $124.54	Professional		$124.54	$124.54	$124.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $32.26 / $44.36 / $96.49	Professional		$32.26	$44.36	$96.49
United Facility/Professional Professional Modifier Low / Median / High Price $31.11 / $59.37 / $112.06	Professional		$31.11	$59.37	$112.06