Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.63 / $492.29 / $4,376.26	Facility		$94.63	$492.29	$4,376.26
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $46.16 / $123.74 / $334.40	Facility	52	$46.16	$123.74	$334.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $196.50 / $610.65	Professional		$81.84	$196.50	$610.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.43 / $171.79 / $373.97	Professional		$77.43	$171.79	$373.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $221.00 / $530.00 / $3,398.00	Facility		$221.00	$530.00	$3,398.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.71 / $274.79 / $526.60	Professional		$118.71	$274.79	$526.60
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.70 / $100.00 / $443.51	Facility		$58.70	$100.00	$443.51
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $135.74 / $313.83 / $702.35	Professional		$135.74	$313.83	$702.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.64 / $124.64 / $526.80	Facility		$124.64	$124.64	$526.80
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $99.71 / $99.71 / $99.71	Facility	52	$99.71	$99.71	$99.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.64 / $192.19 / $435.52	Professional		$88.64	$192.19	$435.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $134.40 / $256.58	Professional		$84.00	$134.40	$256.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.08 / $161.79 / $305.94	Professional		$76.08	$161.79	$305.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $436.00 / $436.00 / $443.30	Facility		$436.00	$436.00	$443.30
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $298.22 / $298.22 / $310.81	Facility	52	$298.22	$298.22	$310.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $809.00 / $1,806.86 / $1,861.06	Professional		$809.00	$1,806.86	$1,861.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $135.02	Professional		$32.34	$32.34	$135.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.13 / $158.59 / $344.01	Facility		$75.13	$158.59	$344.01
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $99.71 / $99.71 / $99.71	Facility	52	$99.71	$99.71	$99.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.67 / $201.26 / $435.52	Professional		$95.67	$201.26	$435.52
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $257.33 / $257.33 / $596.35	Professional		$257.33	$257.33	$596.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $67.83 / $170.01 / $318.57	Professional		$67.83	$170.01	$318.57
United Facility/Professional Facility Modifier Low / Median / High Price $48.60 / $48.60 / $48.60	Facility		$48.60	$48.60	$48.60
United Facility/Professional Professional Modifier Low / Median / High Price $142.24 / $218.45 / $459.71	Professional		$142.24	$218.45	$459.71