Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.38 / $110.81 / $420.78	Facility		$96.38	$110.81	$420.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.64 / $111.83 / $394.76	Professional		$79.64	$111.83	$394.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.77 / $84.77 / $432.53	Professional		$84.77	$84.77	$432.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.83 / $120.70 / $317.89	Facility		$99.83	$120.70	$317.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.60 / $138.60 / $1,014.87	Professional		$103.60	$138.60	$1,014.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $108.44 / $162.57 / $351.28	Professional		$108.44	$162.57	$351.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.13 / $145.13 / $314.77	Professional		$98.13	$145.13	$314.77
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $42.20 / $42.20 / $50.64	Professional		$42.20	$42.20	$50.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.38 / $117.68 / $207.97	Professional		$81.38	$117.68	$207.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $398.13 / $431.16 / $431.16	Facility		$398.13	$431.16	$431.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $679.98 / $679.98 / $679.98	Professional		$679.98	$679.98	$679.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $127.74	Professional		$32.34	$32.34	$127.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.84 / $112.45 / $172.62	Facility		$85.84	$112.45	$172.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $98.70 / $182.49 / $270.68	Professional		$98.70	$182.49	$270.68
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $290.83 / $290.83 / $290.83	Professional		$290.83	$290.83	$290.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $54.86 / $80.39 / $110.54	Professional		$54.86	$80.39	$110.54
United Facility/Professional Professional Modifier Low / Median / High Price $85.05 / $113.80 / $315.27	Professional		$85.05	$113.80	$315.27