Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $72.44 / $275.42	Facility		$63.10	$72.44	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $158.49 / $288.40	Professional		$63.10	$158.49	$288.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $66.07 / $131.83	Professional		$56.23	$66.07	$131.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $97.72 / $245.47	Facility		$77.62	$97.72	$245.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $128.82 / $223.87	Professional		$79.43	$128.82	$223.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $104.71 / $199.53	Professional		$70.79	$104.71	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $97.72 / $208.93	Professional		$72.44	$97.72	$208.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $70.79 / $95.50	Professional		$58.88	$70.79	$95.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $77.62 / $154.88	Professional		$58.88	$77.62	$154.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $85.11 / $151.36	Facility		$61.66	$85.11	$151.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $102.33 / $199.53	Professional		$72.44	$102.33	$199.53
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $77.62 / $199.53	Professional		$58.88	$77.62	$199.53