Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.90 / $278.18 / $528.83	Facility		$62.90	$278.18	$528.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.29 / $74.19 / $333.73	Professional		$55.29	$74.19	$333.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.04 / $141.44 / $141.44	Professional		$87.04	$141.44	$141.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.83 / $92.65 / $385.82	Facility		$74.83	$92.65	$385.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.57 / $97.27 / $246.63	Professional		$63.57	$97.27	$246.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $147.61 / $263.58	Facility		$96.60	$147.61	$263.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $51.07 / $72.38 / $115.87	Professional		$51.07	$72.38	$115.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $85.00 / $315.00	Facility		$72.00	$85.00	$315.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.75 / $91.19 / $232.96	Professional		$57.75	$91.19	$232.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $70.04 / $121.33 / $151.66	Professional		$70.04	$121.33	$151.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.59 / $109.20 / $200.00	Professional		$81.59	$109.20	$200.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $184.07 / $458.69 / $516.79	Facility		$184.07	$458.69	$516.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $136.00 / $633.66 / $824.10	Professional		$136.00	$633.66	$824.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $70.00 / $141.72	Professional		$32.34	$70.00	$141.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.91 / $114.76 / $151.66	Facility		$62.91	$114.76	$151.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.75 / $95.16 / $232.96	Professional		$57.75	$95.16	$232.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $283.32 / $283.32 / $283.32	Professional		$283.32	$283.32	$283.32
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $300.00 / $300.00	Facility		$300.00	$300.00	$300.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.14 / $87.70 / $212.88	Professional		$70.14	$87.70	$212.88