Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.91 / $161.18 / $191.76	Facility		$136.91	$161.18	$191.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.94 / $155.18 / $280.89	Professional		$132.94	$155.18	$280.89
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $139.07 / $193.85 / $587.00	Professional	25	$139.07	$193.85	$587.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.55 / $162.55 / $162.55	Professional		$162.55	$162.55	$162.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $159.19 / $192.47 / $506.90	Facility		$159.19	$192.47	$506.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.22 / $175.93 / $344.97	Professional		$135.22	$175.93	$344.97
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $93.03 / $119.73 / $299.38	Professional		$93.03	$119.73	$299.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.69 / $190.77 / $395.80	Professional		$144.69	$190.77	$395.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $72.09 / $204.37 / $224.81	Professional		$72.09	$204.37	$224.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $166.15 / $213.84 / $424.60	Professional		$166.15	$213.84	$424.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $394.58 / $820.50 / $895.52	Facility		$394.58	$820.50	$895.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,050.66 / $1,050.66 / $1,080.45	Professional		$1,050.66	$1,050.66	$1,080.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $164.00 / $249.46 / $311.11	Facility		$164.00	$249.46	$311.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.83 / $207.38 / $395.80	Professional		$141.83	$207.38	$395.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $435.39 / $435.39 / $435.39	Professional		$435.39	$435.39	$435.39
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $93.73 / $122.57 / $185.79	Professional		$93.73	$122.57	$185.79
United Facility/Professional Professional Modifier Low / Median / High Price $127.17 / $202.53 / $553.42	Professional		$127.17	$202.53	$553.42