Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.29 / $89.88 / $106.16	Facility		$75.29	$89.88	$106.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.29 / $85.33 / $155.69	Professional		$75.29	$85.33	$155.69
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $161.10 / $319.00 / $319.00	Professional	25	$161.10	$319.00	$319.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.35 / $97.35 / $97.35	Professional		$97.35	$97.35	$97.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.80 / $104.94 / $276.39	Facility		$86.80	$104.94	$276.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.87 / $100.45 / $190.89	Professional		$78.87	$100.45	$190.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $69.48 / $88.77 / $216.62	Professional		$69.48	$88.77	$216.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.14 / $104.68 / $228.22	Professional		$81.14	$104.68	$228.22
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $123.14 / $135.44	Professional		$40.00	$123.14	$135.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $99.29 / $127.55 / $253.74	Professional		$99.29	$127.55	$253.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $230.79 / $487.47 / $535.79	Facility		$230.79	$487.47	$535.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $138.69 / $614.52 / $630.77	Professional		$138.69	$614.52	$630.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $96.00 / $136.84 / $172.98	Facility		$96.00	$136.84	$172.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.47 / $124.08 / $228.22	Professional		$77.47	$124.08	$228.22
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $238.66 / $238.66 / $238.66	Professional		$238.66	$238.66	$238.66
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $68.00 / $111.95	Professional		$52.00	$68.00	$111.95
United Facility/Professional Professional Modifier Low / Median / High Price $71.95 / $111.76 / $251.20	Professional		$71.95	$111.76	$251.20