Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.47 / $374.25 / $529.53	Facility		$70.47	$374.25	$529.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.98 / $85.31 / $384.12	Professional		$69.98	$85.31	$384.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $135.25 / $135.25 / $135.25	Professional		$135.25	$135.25	$135.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.11 / $153.79 / $404.75	Facility		$127.11	$153.79	$404.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.64 / $156.97 / $290.62	Professional		$85.64	$156.97	$290.62
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $56.70 / $81.00 / $163.11	Professional		$56.70	$81.00	$163.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.20 / $94.37 / $199.35	Professional		$75.20	$94.37	$199.35
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $63.61 / $78.27 / $97.84	Professional		$63.61	$78.27	$97.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.75 / $85.57 / $180.02	Professional		$65.75	$85.57	$180.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $173.20 / $333.03 / $352.69	Facility		$173.20	$333.03	$352.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $468.55 / $468.55 / $600.90	Professional		$468.55	$468.55	$600.90
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 $70.81 / $89.10 / $161.44	Facility		$70.81	$89.10	$161.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.25 / $102.95 / $200.11	Professional		$76.25	$102.95	$200.11
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $250.26 / $250.26 / $250.26	Professional		$250.26	$250.26	$250.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $63.19 / $86.89 / $108.13	Professional		$63.19	$86.89	$108.13
United Facility/Professional Professional Modifier Low / Median / High Price $62.16 / $89.64 / $185.29	Professional		$62.16	$89.64	$185.29