Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.90 / $109.51 / $179.21	Facility		$102.90	$109.51	$179.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.36 / $109.63 / $286.06	Professional		$98.36	$109.63	$286.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $121.78 / $121.78 / $121.78	Professional		$121.78	$121.78	$121.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.98 / $293.00 / $876.00	Facility		$127.98	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.53 / $146.38 / $287.27	Professional		$102.53	$146.38	$287.27
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $56.68 / $97.90 / $407.92	Facility		$56.68	$97.90	$407.92
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $85.18 / $118.27 / $281.00	Professional		$85.18	$118.27	$281.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.68 / $141.43 / $314.32	Professional		$108.68	$141.43	$314.32
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $92.76 / $118.34 / $159.76	Professional		$92.76	$118.34	$159.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.20 / $120.24 / $244.09	Professional		$96.20	$120.24	$244.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $240.67 / $476.85 / $519.22	Facility		$240.67	$476.85	$519.22
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $662.29 / $662.29 / $861.53	Professional		$662.29	$662.29	$861.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $101.08 / $128.69 / $177.15	Facility		$101.08	$128.69	$177.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $110.30 / $154.41 / $285.85	Professional		$110.30	$154.41	$285.85
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $354.11 / $354.11 / $354.11	Professional		$354.11	$354.11	$354.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $95.61 / $120.59 / $157.69	Professional		$95.61	$120.59	$157.69
United Facility/Professional Facility Modifier Low / Median / High Price $119.83 / $119.83 / $119.83	Facility		$119.83	$119.83	$119.83
United Facility/Professional Professional Modifier Low / Median / High Price $89.32 / $123.88 / $274.62	Professional		$89.32	$123.88	$274.62