Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.47 / $97.89 / $794.53	Facility		$53.47	$97.89	$794.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.85 / $86.67 / $830.70	Professional		$52.85	$86.67	$830.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.16 / $105.16 / $105.16	Professional		$105.16	$105.16	$105.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.50 / $116.75 / $307.26	Facility		$96.50	$116.75	$307.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.17 / $119.95 / $220.59	Professional		$69.17	$119.95	$220.59
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $43.02 / $61.46 / $126.34	Professional		$43.02	$61.46	$126.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.88 / $73.79 / $159.82	Professional		$57.88	$73.79	$159.82
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $48.19 / $61.01 / $76.26	Professional		$48.19	$61.01	$76.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.17 / $66.58 / $140.32	Professional		$51.17	$66.58	$140.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $133.68 / $258.85 / $274.45	Facility		$133.68	$258.85	$274.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $384.82 / $384.82 / $468.53	Professional		$384.82	$384.82	$468.53
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 $55.63 / $69.34 / $117.97	Facility		$55.63	$69.34	$117.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.49 / $82.16 / $163.53	Professional		$58.49	$82.16	$163.53
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $206.31 / $206.31 / $206.31	Professional		$206.31	$206.31	$206.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $49.25 / $67.47 / $81.93	Professional		$49.25	$67.47	$81.93
United Facility/Professional Professional Modifier Low / Median / High Price $49.88 / $72.48 / $161.09	Professional		$49.88	$72.48	$161.09