Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.65 / $90.91 / $289.01	Facility		$56.65	$90.91	$289.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.79 / $106.85 / $367.00	Professional		$56.79	$106.85	$367.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.36 / $105.86 / $221.03	Professional		$90.36	$105.86	$221.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.73 / $79.75 / $90.00	Facility		$68.73	$79.75	$90.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.09 / $105.38 / $186.08	Professional		$70.09	$105.38	$186.08
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $88.30 / $115.00 / $139.00	Facility		$88.30	$115.00	$139.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $90.78 / $120.73 / $271.17	Professional		$90.78	$120.73	$271.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.37 / $97.37 / $97.37	Facility		$97.37	$97.37	$97.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.29 / $110.92 / $229.01	Professional		$70.29	$110.92	$229.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $37.39 / $37.39 / $44.87	Professional		$37.39	$37.39	$44.87
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $407.51 / $407.51 / $407.51	Professional		$407.51	$407.51	$407.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.68 / $121.64 / $216.51	Professional		$73.68	$121.64	$216.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $328.49 / $356.87 / $356.87	Facility		$328.49	$356.87	$356.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $464.35 / $657.47 / $657.47	Professional		$464.35	$657.47	$657.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $479.00	Professional		$60.00	$85.00	$479.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.14 / $99.61 / $156.76	Facility		$60.14	$99.61	$156.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.48 / $126.61 / $251.87	Professional		$73.48	$126.61	$251.87
United Facility/Professional Facility Modifier Low / Median / High Price $119.83 / $119.83 / $119.83	Facility		$119.83	$119.83	$119.83
United Facility/Professional Professional Modifier Low / Median / High Price $73.54 / $102.44 / $252.41	Professional		$73.54	$102.44	$252.41