Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $302.00 / $338.84	Facility		$95.50	$302.00	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $123.03 / $398.11	Professional		$79.43	$123.03	$398.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $478.63 / $512.86	Professional		$87.10	$478.63	$512.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $131.83 / $331.13	Facility		$104.71	$131.83	$331.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $181.97 / $1,071.52	Professional		$104.71	$181.97	$1,071.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $208.93 / $363.08	Professional		$141.25	$208.93	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $147.91 / $302.00	Professional		$97.72	$147.91	$302.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $97.72	Professional		$81.28	$81.28	$97.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.20 / $181.97	Professional		$77.62	$112.20	$181.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Facility		$676.08	$676.08	$676.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $128.82	Professional		$75.86	$75.86	$128.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $120.23 / $204.17	Facility		$81.28	$120.23	$204.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $158.49 / $269.15	Professional		$95.50	$158.49	$269.15
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $75.86 / $97.72	Professional		$54.95	$75.86	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $114.82 / $288.40	Professional		$83.18	$114.82	$288.40