Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.99 / $140.55 / $795.06	Facility		$127.99	$140.55	$795.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.35 / $137.38 / $245.58	Professional		$121.35	$137.38	$245.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $115.16 / $127.87 / $185.64	Professional		$115.16	$127.87	$185.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $116.92 / $293.00 / $876.00	Facility		$116.92	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.76 / $142.88 / $267.64	Professional		$115.76	$142.88	$267.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $104.78 / $149.68 / $359.29	Professional		$104.78	$149.68	$359.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.47 / $173.94 / $361.89	Professional		$136.47	$173.94	$361.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $118.42 / $152.05 / $205.27	Professional		$118.42	$152.05	$205.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $121.08 / $150.29 / $268.01	Professional		$121.08	$150.29	$268.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $601.01 / $653.65 / $653.65	Facility		$601.01	$653.65	$653.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $831.61 / $1,086.68 / $1,260.00	Professional		$831.61	$1,086.68	$1,260.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $194.19	Professional		$32.34	$32.34	$194.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $127.99 / $162.10 / $222.66	Facility		$127.99	$162.10	$222.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $139.77 / $193.92 / $357.60	Professional		$139.77	$193.92	$357.60
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $435.47 / $435.47 / $442.69	Professional		$435.47	$435.47	$442.69
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $138.19 / $177.62	Professional		$120.23	$138.19	$177.62
United Facility/Professional Facility Modifier Low / Median / High Price $154.66 / $154.66 / $154.66	Facility		$154.66	$154.66	$154.66
United Facility/Professional Professional Modifier Low / Median / High Price $108.36 / $150.31 / $344.76	Professional		$108.36	$150.31	$344.76