Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.26 / $106.45 / $601.83	Facility		$97.26	$106.45	$601.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.35 / $104.78 / $256.20	Professional		$89.35	$104.78	$256.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.97 / $120.56 / $136.91	Professional		$105.97	$120.56	$136.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.96 / $293.00 / $876.00	Facility		$88.96	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.08 / $110.02 / $203.04	Professional		$88.08	$110.02	$203.04
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $83.19 / $113.51 / $273.20	Professional		$83.19	$113.51	$273.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.79 / $132.91 / $271.86	Professional		$103.79	$132.91	$271.86
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $89.86 / $120.88 / $163.19	Professional		$89.86	$120.88	$163.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.46 / $118.81 / $218.19	Professional		$96.46	$118.81	$218.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $478.34 / $520.60 / $520.60	Facility		$478.34	$520.60	$520.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $625.05 / $631.55 / $878.03	Professional		$625.05	$631.55	$878.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $152.93	Professional		$32.34	$32.34	$152.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.49 / $126.80 / $174.70	Facility		$97.49	$126.80	$174.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $106.30 / $147.02 / $266.85	Professional		$106.30	$147.02	$266.85
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $331.92 / $331.92 / $336.73	Professional		$331.92	$331.92	$336.73
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $95.80 / $109.86 / $134.80	Professional		$95.80	$109.86	$134.80
United Facility/Professional Facility Modifier Low / Median / High Price $121.74 / $121.74 / $121.74	Facility		$121.74	$121.74	$121.74
United Facility/Professional Professional Modifier Low / Median / High Price $82.32 / $114.19 / $278.64	Professional		$82.32	$114.19	$278.64